MARLENA C CROCKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032792

License Status

INACTIVE

Business

First Name

MARLENA C

Last Name

CROCKETT

Business Name

MARLENA C CROCKETT

Original Issue Date

04/16/1973

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005