CONNIE S LEATH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078444

License Status

NOT RENEWED

Business

First Name

CONNIE S

Last Name

LEATH

Business Name

CONNIE S LEATH

Original Issue Date

11/07/1995

Expiration Date

01/31/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005