BEULAH SAMPLE - Registered Nurse License in Illinois | # 043035113

BEULAH SAMPLE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035113

License Status

INACTIVE

Business

N

First Name

BEULAH

Last Name

SAMPLE

Business Name

BEULAH SAMPLE

Original Issue Date

07/01/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005