SANDRA LEE ERICSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042813

License Status

NOT RENEWED

Business

First Name

SANDRA LEE

Last Name

ERICSON

Business Name

SANDRA LEE ERICSON

Original Issue Date

02/14/1978

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005