BRIAN RICHARD HENRICKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055011

License Status

NOT RENEWED

Business

First Name

BRIAN RICHARD

Last Name

HENRICKSON

Business Name

BRIAN RICHARD HENRICKSON

Original Issue Date

01/11/1983

Expiration Date

01/31/1993

City

WAUKEGAN

State

Zip

60085

Ever Disciplined

LastModifiedDate

10/21/2005