PATRICIA A WAMBOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055002

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

WAMBOLD

Business Name

PATRICIA A WAMBOLD

Original Issue Date

01/11/1983

Expiration Date

01/31/1987

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005