LUCILLE RANDOLPH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007014

License Status

INACTIVE

Business

First Name

LUCILLE

Last Name

RANDOLPH

Business Name

LUCILLE RANDOLPH

Original Issue Date

01/17/1956

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005