LIDWINA W LEIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007676

License Status

NOT RENEWED

Business

First Name

LIDWINA W

Last Name

LEIS

Business Name

LIDWINA W LEIS

Original Issue Date

07/22/1957

Expiration Date

05/01/1982

City

WAUEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005