AUDREY M LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315117

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

LARSON

Business Name

AUDREY M LARSON

Original Issue Date

07/27/1999

Effective Date

07/27/1999

Expiration Date

05/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006