KRISTIN S UNDERWOOD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017215

License Status

INACTIVE

Business

First Name

KRISTIN S

Last Name

UNDERWOOD

Business Name

KRISTIN S UNDERWOOD

Original Issue Date

12/19/1966

Effective Date

12/15/2004

Expiration Date

01/31/2005

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/15/2005