M FAE HANCOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015909

License Status

INACTIVE

Business

First Name

M FAE

Last Name

HANCOCK

Business Name

M FAE HANCOCK

Original Issue Date

09/02/1966

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005