LILLIAN WHITESIDE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013078

License Status

INACTIVE

Business

First Name

LILLIAN

Last Name

WHITESIDE

Business Name

LILLIAN WHITESIDE

Original Issue Date

12/17/1964

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005