LAURETTE JANE BERTELSEN HAWK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045622

License Status

INACTIVE

Business

First Name

LAURETTE JANE

Last Name

BERTELSEN HAWK

Business Name

LAURETTE JANE BERTELSEN HAWK

Original Issue Date

01/26/1979

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/15/2005