ANTONIE BACKLUND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046923

License Status

NOT RENEWED

Business

First Name

ANTONIE

Last Name

BACKLUND

Business Name

ANTONIE BACKLUND

Original Issue Date

07/13/1979

Effective Date

01/10/2011

Expiration Date

01/31/2013

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/20/2013