LARRY HOWARD HENIKOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407709

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

HOWARD

Last Name

HENIKOFF

Business Name

LARRY HOWARD HENIKOFF

Original Issue Date

12/28/2012

Effective Date

08/06/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022