KRISTY L LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082326

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

Last Name

LARSON

Business Name

KRISTY L LARSON

Original Issue Date

05/14/1998

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005