GRACIE S HEREFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011440

License Status

NOT RENEWED

Business

First Name

GRACIE S

Last Name

HEREFORD

Business Name

GRACIE S HEREFORD

Original Issue Date

07/26/1963

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005