INA M WILLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057195

License Status

INACTIVE

Business

First Name

INA M

Last Name

WILLIS

Business Name

INA M WILLIS

Original Issue Date

05/09/1983

Effective Date

01/20/2005

Expiration Date

01/31/2005

City

TABLE GROVE

State

Zip

61482

County

FULTON

Ever Disciplined

LastModifiedDate

10/15/2005