PAYTON LEIDHOLM - Registered Nurse License in Illinois | # 041498759

PAYTON LEIDHOLM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041498759

License Status

NOT RENEWED

Business

N

First Name

PAYTON

Last Name

LEIDHOLM

Business Name

PAYTON LEIDHOLM

Original Issue Date

08/06/2020

Effective Date

08/06/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025