LA VON J FIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011028

License Status

NOT RENEWED

Business

First Name

LA VON J

Last Name

FIELDS

Business Name

LA VON J FIELDS

Original Issue Date

04/01/1963

Effective Date

12/23/2010

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2013