JOANN E LEIVESTAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088260

License Status

NOT RENEWED

Business

First Name

JOANN

Middle

Last Name

LEIVESTAD

Business Name

JOANN E LEIVESTAD

Original Issue Date

02/05/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/21/2005