FREDDIE M STATEN - Registered Nurse License in Illinois | # 043012941

FREDDIE M STATEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012941

License Status

INACTIVE

Business

N

First Name

FREDDIE M

Last Name

STATEN

Business Name

FREDDIE M STATEN

Original Issue Date

12/17/1964

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005