FAVOUR DJUKPEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041398022

License Status

NOT RENEWED

Business

First Name

FAVOUR

Last Name

DJUKPEN

Business Name

FAVOUR DJUKPEN

Original Issue Date

11/18/2011

Effective Date

05/08/2012

Expiration Date

05/31/2014

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014