ANNIE L MACON - Registered Nurse License in Illinois | # 043010648

ANNIE L MACON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010648

License Status

NOT RENEWED

Business

N

First Name

ANNIE L

Last Name

MACON

Business Name

ANNIE L MACON

Original Issue Date

07/17/1962

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005