DAVID A HAUTALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070919

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

HAUTALA

Business Name

DAVID A HAUTALA

Original Issue Date

01/16/1992

Expiration Date

01/31/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1994005464

Action

Probation

Discipline Start Date

01/30/1995

Discipline End Date

03/22/1996

Discipline Reason

Defaulted on Illinois Student Assistance loan.