YUTEVA E SMALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015776

License Status

INACTIVE

Business

First Name

YUTEVA E

Last Name

SMALL

Business Name

YUTEVA E SMALL

Original Issue Date

09/02/1966

Expiration Date

01/31/1995

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005