MAE SAMPLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025685

License Status

INACTIVE

Business

First Name

MAE

Last Name

SAMPLE

Business Name

MAE SAMPLE

Original Issue Date

10/28/1969

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005