JUANITA LEAVELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007569

License Status

INACTIVE

Business

First Name

JUANITA

Last Name

LEAVELL

Business Name

JUANITA LEAVELL

Original Issue Date

04/01/1957

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005