MICHELLE A LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041394347

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

LARSEN

Business Name

MICHELLE A LARSEN

Original Issue Date

07/21/2011

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022