LAURA LEE DE VAGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041325970

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

LEE

Last Name

DE VAGE

Business Name

LAURA LEE DE VAGE

Original Issue Date

08/22/2001

Effective Date

08/22/2001

Expiration Date

05/31/2004

City

GRIDLEY

State

Zip

61744

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/09/2006