LOUISE A DATEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047635

License Status

NOT RENEWED

Business

First Name

LOUISE A

Last Name

DATEMA

Business Name

LOUISE A DATEMA

Original Issue Date

12/10/1979

Expiration Date

05/01/1982

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005