CONNIE J DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065789

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

DOUGLAS

Business Name

CONNIE J DOUGLAS

Original Issue Date

04/09/1988

Expiration Date

01/31/1989

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005