AGNES B GARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021647

License Status

INACTIVE

Business

First Name

AGNES B

Last Name

GARD

Business Name

AGNES B GARD

Original Issue Date

12/22/1967

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005