ATHA HICKENBOTTOM - Registered Nurse License in Illinois | # 043009764

ATHA HICKENBOTTOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009764

License Status

INACTIVE

Business

N

First Name

ATHA

Last Name

HICKENBOTTOM

Business Name

ATHA HICKENBOTTOM

Original Issue Date

04/03/1961

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005