CONNIE S DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044558

License Status

NOT RENEWED

Business

First Name

CONNIE S

Last Name

DOUGLAS

Business Name

CONNIE S DOUGLAS

Original Issue Date

06/29/1978

Effective Date

02/02/2021

Expiration Date

01/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/31/2023