WILLA MARDELL GRAHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029189

License Status

INACTIVE

Business

First Name

WILLA MARDELL

Last Name

GRAHAM

Business Name

WILLA MARDELL GRAHAM

Original Issue Date

11/01/1971

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005