LAWRENCE R RANDALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068952

License Status

NOT RENEWED

Business

First Name

LAWRENCE R

Last Name

RANDALL

Business Name

LAWRENCE R RANDALL

Original Issue Date

11/28/1990

Effective Date

02/08/2005

Expiration Date

01/31/2007

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

03/16/2007