BRENDA J DIVINITY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045745

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

DIVINITY

Business Name

BRENDA J DIVINITY

Original Issue Date

01/26/1979

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005