DOUGLAS LEACH - Registered Nurse License in Illinois | # 043049852

DOUGLAS LEACH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049852

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Last Name

LEACH

Business Name

DOUGLAS LEACH

Original Issue Date

07/02/1980

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005