ELIZABETH A DESHERLIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046364

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DESHERLIA

Business Name

ELIZABETH A DESHERLIA

Original Issue Date

01/26/1979

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005