LAURIE L CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276538

License Status

NOT RENEWED

Business

First Name

LAURIE L

Last Name

CROCKETT

Business Name

LAURIE L CROCKETT

Original Issue Date

10/13/1993

Effective Date

05/02/2012

Expiration Date

05/31/2014

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

07/03/2014