SANDRA R POLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034950

License Status

NOT RENEWED

Business

First Name

SANDRA R

Last Name

POLEN

Business Name

SANDRA R POLEN

Original Issue Date

04/24/1974

Expiration Date

01/31/1987

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005