LOUELLA J ANTRIM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014013

License Status

INACTIVE

Business

First Name

LOUELLA J

Last Name

ANTRIM

Business Name

LOUELLA J ANTRIM

Original Issue Date

11/23/1965

Expiration Date

01/31/1993

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/21/2005