MARK A LEWIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065160

License Status

INACTIVE

Business

First Name

MARK A

Last Name

LEWIS

Business Name

MARK A LEWIS

Original Issue Date

12/15/1987

Effective Date

01/30/2013

Expiration Date

01/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/07/2014