KRISTOFFER LOREN HAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392001

License Status

NOT RENEWED

Business

First Name

KRISTOFFER

Middle

LOREN

Last Name

HAGEN

Business Name

KRISTOFFER LOREN HAGEN

Original Issue Date

04/19/2011

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014