AMY S STOMBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085421

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

STOMBERG

Business Name

AMY S STOMBERG

Original Issue Date

10/04/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/15/2005