DETRA L DAVIS - Registered Nurse License in Illinois | # 043039442

DETRA L DAVIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039442

License Status

NOT RENEWED

Business

N

First Name

DETRA L

Last Name

DAVIS

Business Name

DETRA L DAVIS

Original Issue Date

06/11/1976

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005