CONNIE S LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068617

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

LARSEN

Business Name

CONNIE S LARSEN

Original Issue Date

06/26/1990

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005