DOROTHY A CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018929

License Status

NOT RENEWED

Business

First Name

DOROTHY A

Last Name

CROCKETT

Business Name

DOROTHY A CROCKETT

Original Issue Date

03/23/1967

Expiration Date

01/31/1985

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005