ERNESTINE TRAVILLION Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008057

License Status

INACTIVE

Business

First Name

ERNESTINE

Last Name

TRAVILLION

Business Name

ERNESTINE TRAVILLION

Original Issue Date

04/07/1958

Effective Date

01/11/2005

Expiration Date

01/31/2007

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/03/2006