AGNES V HOLTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043004538

License Status

NOT RENEWED

Business

First Name

AGNES V

Last Name

HOLTMAN

Business Name

AGNES V HOLTMAN

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005