MAE SAMPLE - Registered Nurse License in Illinois | # 043025685

MAE SAMPLE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025685

License Status

INACTIVE

Business

N

First Name

MAE

Last Name

SAMPLE

Business Name

MAE SAMPLE

Original Issue Date

10/28/1969

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005