ARDATH DEWALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011421

License Status

INACTIVE

Business

First Name

ARDATH

Last Name

DEWALL

Business Name

ARDATH DEWALL

Original Issue Date

07/26/1963

Effective Date

01/04/2011

Expiration Date

01/31/2013

City

SHANNON

State

Zip

61078

County

OGLE

Ever Disciplined

LastModifiedDate

11/08/2012