FREDA N DIVINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019060

License Status

INACTIVE

Business

First Name

FREDA N

Last Name

DIVINE

Business Name

FREDA N DIVINE

Original Issue Date

05/05/1967

Expiration Date

01/31/1993

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005