DOROTHY ADA JANE HOLLOWAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047617

License Status

NOT RENEWED

Business

First Name

DOROTHY ADA JANE

Last Name

HOLLOWAY

Business Name

DOROTHY ADA JANE HOLLOWAY

Original Issue Date

11/08/1979

Expiration Date

05/01/1982

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005