VIVIAN SPOONER GAULT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022945

License Status

NOT RENEWED

Business

First Name

VIVIAN SPOONER

Last Name

GAULT

Business Name

VIVIAN SPOONER GAULT

Original Issue Date

04/01/1968

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005