BEVERLY J LEATHERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050420

License Status

INACTIVE

Business

First Name

BEVERLY J

Last Name

LEATHERMAN

Business Name

BEVERLY J LEATHERMAN

Original Issue Date

01/08/1981

Effective Date

11/14/2002

Expiration Date

01/31/2003

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/15/2005