SANDRA LEE MELLUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047492

License Status

INACTIVE

Business

First Name

SANDRA LEE

Last Name

MELLUM

Business Name

SANDRA LEE MELLUM

Original Issue Date

08/07/1979

Expiration Date

05/01/1982

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005