LAVONNE R TICE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081649

License Status

NOT RENEWED

Business

First Name

LAVONNE

Middle

Last Name

TICE

Business Name

LAVONNE R TICE

Original Issue Date

11/05/1997

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2009