IVA-SURRETTE LYLE WASHUM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052637

License Status

ACTIVE

Business

First Name

IVA-SURRETTE

Middle

LYLE

Last Name

WASHUM

Business Name

IVA-SURRETTE LYLE WASHUM

Original Issue Date

01/13/1982

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/10/2025