ANGELA S DETLOFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255923

License Status

INACTIVE

Business

First Name

ANGELA S

Last Name

DETLOFF

Business Name

ANGELA S DETLOFF

Original Issue Date

12/02/1989

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2020