LAVERNE E FEDORS - Registered Nurse License in Illinois | # 043017441

LAVERNE E FEDORS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017441

License Status

NOT RENEWED

Business

N

First Name

LAVERNE E

Last Name

FEDORS

Business Name

LAVERNE E FEDORS

Original Issue Date

12/19/1966

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005