IVORY D LANE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019424

License Status

INACTIVE

Business

First Name

IVORY D

Last Name

LANE

Business Name

IVORY D LANE

Original Issue Date

06/06/1967

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005