PATRICIA S DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045629

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

DOUGLAS

Business Name

PATRICIA S DOUGLAS

Original Issue Date

01/26/1979

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005