ETHEL LEE MCCULLOUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055453

License Status

NOT RENEWED

Business

First Name

ETHEL LEE

Last Name

MCCULLOUGH

Business Name

ETHEL LEE MCCULLOUGH

Original Issue Date

02/23/1983

Effective Date

12/14/2010

Expiration Date

01/31/2013

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

1989001208

Action

Probation

Discipline Start Date

04/13/1990

Discipline End Date

09/26/1991