AGNES THERESE JORDAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048791

License Status

INACTIVE

Business

First Name

AGNES THERESE

Last Name

JORDAN

Business Name

AGNES THERESE JORDAN

Original Issue Date

01/07/1980

Effective Date

12/22/2004

Expiration Date

01/31/2005

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/15/2005