IDA GAUSEPOHL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020141

License Status

NOT RENEWED

Business

First Name

IDA

Last Name

GAUSEPOHL

Business Name

IDA GAUSEPOHL

Original Issue Date

06/28/1967

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005