GRACE A ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009717

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

ANDERSON

Business Name

GRACE A ANDERSON

Original Issue Date

04/03/1961

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005