GWENDOLA M ISOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057311

License Status

NOT RENEWED

Business

First Name

GWENDOLA M

Last Name

ISOM

Business Name

GWENDOLA M ISOM

Original Issue Date

05/09/1983

Effective Date

01/05/2021

Expiration Date

01/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/31/2023