LORETTA MARY FARRIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039463

License Status

INACTIVE

Business

First Name

LORETTA MARY

Last Name

FARRIS

Business Name

LORETTA MARY FARRIS

Original Issue Date

06/11/1976

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005