BRIAN RICHARD HENRICKSON - Registered Nurse License in Illinois | # 043055011

BRIAN RICHARD HENRICKSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055011

License Status

NOT RENEWED

Business

N

First Name

BRIAN RICHARD

Last Name

HENRICKSON

Business Name

BRIAN RICHARD HENRICKSON

Original Issue Date

01/11/1983

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005