COLLEEN MARIE ASA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053431

License Status

INACTIVE

Business

First Name

COLLEEN MARIE

Last Name

ASA

Business Name

COLLEEN MARIE ASA

Original Issue Date

01/13/1982

Effective Date

11/29/2004

Expiration Date

01/31/2007

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006