LESLIE KAY TATE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030436

License Status

INACTIVE

Business

First Name

LESLIE KAY

Last Name

TATE

Business Name

LESLIE KAY TATE

Original Issue Date

03/28/1972

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005