WALTER W VINEYARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058853

License Status

NOT RENEWED

Business

First Name

WALTER W

Last Name

VINEYARD

Business Name

WALTER W VINEYARD

Original Issue Date

12/27/1983

Expiration Date

01/31/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1996010095

Action

Refuse To Renew

Discipline Start Date

04/16/1997

Discipline End Date

03/13/1998

Discipline Reason

Diversion of controlled substance.