LORI A HAZELIP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391866

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

HAZELIP

Business Name

LORI A HAZELIP

Original Issue Date

04/08/2011

Effective Date

05/09/2016

Expiration Date

05/31/2018

City

SHIPMAN

State

Zip

62685

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/19/2018