OPAL R KOLWICK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012272

License Status

INACTIVE

Business

First Name

OPAL R

Last Name

KOLWICK

Business Name

OPAL R KOLWICK

Original Issue Date

04/21/1964

Expiration Date

01/31/1985

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005