LENA WALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018197

License Status

INACTIVE

Business

First Name

LENA

Last Name

WALL

Business Name

LENA WALL

Original Issue Date

01/24/1967

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005