JACQUELINE M LEECH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032749

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

LEECH

Business Name

JACQUELINE M LEECH

Original Issue Date

04/12/1973

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005