IDA MAE CAMPBELL OTTEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046929

License Status

NOT RENEWED

Business

First Name

IDA MAE CAMPBELL

Last Name

OTTEN

Business Name

IDA MAE CAMPBELL OTTEN

Original Issue Date

07/13/1979

Expiration Date

01/31/1997

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005