DONALD D SHOUSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014570

License Status

NOT RENEWED

Business

First Name

DONALD D

Last Name

SHOUSE

Business Name

DONALD D SHOUSE

Original Issue Date

03/16/1966

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005