LA VERNE MCCOLLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033794

License Status

NOT RENEWED

Business

First Name

LA VERNE

Last Name

MCCOLLUM

Business Name

LA VERNE MCCOLLUM

Original Issue Date

01/21/1974

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005