ETHENE GRACE THOMAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036190

License Status

NOT RENEWED

Business

First Name

ETHENE GRACE

Last Name

THOMAS

Business Name

ETHENE GRACE THOMAS

Original Issue Date

01/30/1975

Effective Date

02/02/2009

Expiration Date

01/31/2011

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/26/2024