CAMILLA DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048973

License Status

NOT RENEWED

Business

First Name

CAMILLA

Last Name

DOUGLAS

Business Name

CAMILLA DOUGLAS

Original Issue Date

01/07/1980

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005