KENNETH WAYNE REAVILL - Registered Nurse License in Illinois | # 043041691

KENNETH WAYNE REAVILL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041691

License Status

NOT RENEWED

Business

N

First Name

KENNETH WAYNE

Last Name

REAVILL

Business Name

KENNETH WAYNE REAVILL

Original Issue Date

04/12/1977

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005