RITA A IDE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040017

License Status

INACTIVE

Business

First Name

RITA A

Last Name

IDE

Business Name

RITA A IDE

Original Issue Date

12/07/1976

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005