DONALD R LATHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036862

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

LATHAM

Business Name

DONALD R LATHAM

Original Issue Date

02/13/1975

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005