ICYLINE EDWARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026961

License Status

INACTIVE

Business

First Name

ICYLINE

Last Name

EDWARD

Business Name

ICYLINE EDWARD

Original Issue Date

07/28/1970

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005