ADELINE FOWLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009749

License Status

INACTIVE

Business

First Name

ADELINE

Last Name

FOWLER

Business Name

ADELINE FOWLER

Original Issue Date

04/03/1961

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005