DENIELLE ELIZABETH BACON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086159

License Status

NOT RENEWED

Business

First Name

DENIELLE

Middle

ELIZABETH

Last Name

BACON

Business Name

DENIELLE ELIZABETH BACON

Original Issue Date

05/10/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005