LUCINA COLLEEN MIX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086248

License Status

NOT RENEWED

Business

First Name

LUCINA

Middle

COLLEEN

Last Name

MIX

Business Name

LUCINA COLLEEN MIX

Original Issue Date

06/20/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/15/2005