NATHEN A LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313268

License Status

NOT RENEWED

Business

First Name

NATHEN

Middle

Last Name

LARSEN

Business Name

NATHEN A LARSEN

Original Issue Date

02/24/1999

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021