LAURA C BUCKNAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300362

License Status

NOT RENEWED

Business

First Name

LAURA C

Last Name

BUCKNAM

Business Name

LAURA C BUCKNAM

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

05/31/2004

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006