ANTONIE BACKLUND - Registered Nurse License in Illinois | # 043046923

ANTONIE BACKLUND

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046923

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013