WANETA J LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012179

License Status

NOT RENEWED

Business

First Name

WANETA J

Last Name

LARSON

Business Name

WANETA J LARSON

Original Issue Date

04/21/1964

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005