JILL MARLENE LOCKENVITZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036806

License Status

NOT RENEWED

Business

First Name

JILL MARLENE

Last Name

LOCKENVITZ

Business Name

JILL MARLENE LOCKENVITZ

Original Issue Date

01/30/1975

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/15/2005