JAYNE MARIE CORVALLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037143

License Status

NOT RENEWED

Business

First Name

JAYNE MARIE

Last Name

CORVALLIS

Business Name

JAYNE MARIE CORVALLIS

Original Issue Date

06/10/1975

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005