LORI M ETZBACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075210

License Status

INACTIVE

Business

First Name

LORI M

Last Name

ETZBACH

Business Name

LORI M ETZBACH

Original Issue Date

02/01/1994

Expiration Date

01/31/1997

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005