JERALD R ALLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069879

License Status

NOT RENEWED

Business

First Name

JERALD R

Last Name

ALLEN

Business Name

JERALD R ALLEN

Original Issue Date

02/20/1991

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/15/2005