KEITH LARSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049302

License Status

INACTIVE

Business

First Name

KEITH

Last Name

LARSEN

Business Name

KEITH LARSEN

Original Issue Date

04/24/1982

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2012