MARLENE R SELBURG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025353

License Status

INACTIVE

Business

First Name

MARLENE R

Last Name

SELBURG

Business Name

MARLENE R SELBURG

Original Issue Date

07/07/1969

Effective Date

12/02/2004

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005