OPAL M HOLTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010243

License Status

INACTIVE

Business

First Name

OPAL M

Last Name

HOLTZ

Business Name

OPAL M HOLTZ

Original Issue Date

04/02/1962

Expiration Date

01/31/1985

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005