JULIA ELLEN ICENOGLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051973

License Status

NOT RENEWED

Business

First Name

JULIA ELLEN

Last Name

ICENOGLE

Business Name

JULIA ELLEN ICENOGLE

Original Issue Date

06/05/1981

Expiration Date

05/01/1982

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005