BEVERLEY R HAAG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034855

License Status

INACTIVE

Business

First Name

BEVERLEY R

Last Name

HAAG

Business Name

BEVERLEY R HAAG

Original Issue Date

04/24/1974

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/03/2006