OLAN M LISANBY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012898

License Status

INACTIVE

Business

First Name

OLAN M

Last Name

LISANBY

Business Name

OLAN M LISANBY

Original Issue Date

12/17/1964

Expiration Date

01/31/1995

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005