KATHY ANN WANLESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044235

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

WANLESS

Business Name

KATHY ANN WANLESS

Original Issue Date

06/29/1978

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005