HOLLY ANN DASSOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017325

License Status

INACTIVE

Business

First Name

HOLLY ANN

Last Name

DASSOW

Business Name

HOLLY ANN DASSOW

Original Issue Date

12/19/1966

Effective Date

01/22/2013

Expiration Date

01/31/2015

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/07/2014