ANDREW O LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343018

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

LARSON

Business Name

ANDREW O LARSON

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006