THERESA M PUTNAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079117

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

PUTNAM

Business Name

THERESA M PUTNAM

Original Issue Date

04/06/1996

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2009