DEBRA J BOOTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040188

License Status

INACTIVE

Business

First Name

DEBRA

Middle

Last Name

BOOTH

Business Name

DEBRA J BOOTH

Original Issue Date

02/02/1977

Effective Date

01/23/2001

Expiration Date

01/31/2001

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005