LOIS O DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057227

License Status

NOT RENEWED

Business

First Name

LOIS O

Last Name

DOUGLAS

Business Name

LOIS O DOUGLAS

Original Issue Date

05/09/1983

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

EAST ST LOUIS

State

Zip

62202

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005