VICKIE B LARSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035045

License Status

INACTIVE

Business

First Name

VICKIE B

Last Name

LARSON

Business Name

VICKIE B LARSON

Original Issue Date

04/24/1974

Effective Date

01/18/2005

Expiration Date

01/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005