ADDIE T LARA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027753

License Status

INACTIVE

Business

First Name

ADDIE T

Last Name

LARA

Business Name

ADDIE T LARA

Original Issue Date

01/25/1971

Expiration Date

01/31/1993

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005