CHARLOTTE A DETHROW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301022

License Status

NOT RENEWED

Business

First Name

CHARLOTTE A

Last Name

DETHROW

Business Name

CHARLOTTE A DETHROW

Original Issue Date

11/12/1996

Effective Date

11/12/1996

Expiration Date

05/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006