LA VORA M WISDOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013970

License Status

INACTIVE

Business

First Name

LA VORA M

Last Name

WISDOM

Business Name

LA VORA M WISDOM

Original Issue Date

10/07/1965

Expiration Date

01/31/1985

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005