OPAL I WHITLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015045

License Status

INACTIVE

Business

First Name

OPAL I

Last Name

WHITLOCK

Business Name

OPAL I WHITLOCK

Original Issue Date

05/04/1966

Expiration Date

01/31/1985

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005