LOUELLA W MIX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010161

License Status

NOT RENEWED

Business

First Name

LOUELLA W

Last Name

MIX

Business Name

LOUELLA W MIX

Original Issue Date

01/23/1962

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005