GLORIA A ENNENBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086434

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

Last Name

ENNENBACH

Business Name

GLORIA A ENNENBACH

Original Issue Date

08/31/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

10/21/2005