FREDA N DIVINE - Registered Nurse License in Illinois | # 043019060

FREDA N DIVINE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019060

License Status

INACTIVE

Business

N

First Name

FREDA N

Last Name

DIVINE

Business Name

FREDA N DIVINE

Original Issue Date

05/05/1967

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005