LORIE M MICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076402

License Status

NOT RENEWED

Business

First Name

LORIE

Middle

Last Name

MICK

Business Name

LORIE M MICK

Original Issue Date

10/15/1994

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/15/2005