ETHEL JUANITA CROUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028703

License Status

NOT RENEWED

Business

First Name

ETHEL JUANITA

Last Name

CROUCH

Business Name

ETHEL JUANITA CROUCH

Original Issue Date

06/29/1971

Expiration Date

01/31/1987

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005