THOMAS R STOUTENBOROUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089012

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

STOUTENBOROUGH

Business Name

THOMAS R STOUTENBOROUGH

Original Issue Date

10/06/2003

Effective Date

01/11/2017

Expiration Date

01/31/2019

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/28/2019