FANNIE A MUSGRAVE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009645

License Status

INACTIVE

Business

First Name

FANNIE A

Last Name

MUSGRAVE

Business Name

FANNIE A MUSGRAVE

Original Issue Date

01/26/1961

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005