BETH ELLEN LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045329

License Status

NOT RENEWED

Business

First Name

BETH ELLEN

Last Name

LARSON

Business Name

BETH ELLEN LARSON

Original Issue Date

01/26/1979

Expiration Date

01/31/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005