O MODINE KERN - Registered Nurse License in Illinois | # 043017987

O MODINE KERN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017987

License Status

INACTIVE

Business

N

First Name

O MODINE

Last Name

KERN

Business Name

O MODINE KERN

Original Issue Date

01/24/1967

Effective Date

01/19/1999

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005