JACQUELYN M WREATH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009629

License Status

NOT RENEWED

Business

First Name

JACQUELYN M

Last Name

WREATH

Business Name

JACQUELYN M WREATH

Original Issue Date

01/26/1961

Expiration Date

01/31/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005