DIXIE HOLLENBACK - Registered Nurse License in Illinois | # 043040502

DIXIE HOLLENBACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040502

License Status

NOT RENEWED

Business

N

First Name

DIXIE

Last Name

HOLLENBACK

Business Name

DIXIE HOLLENBACK

Original Issue Date

02/02/1977

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005