FAIRFAX FINLEY E MCCULLOH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044136

License Status

NOT RENEWED

Business

First Name

FAIRFAX FINLEY E

Last Name

MCCULLOH

Business Name

FAIRFAX FINLEY E MCCULLOH

Original Issue Date

04/11/1978

Expiration Date

05/01/1982

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005