MIRIAM A COLEGROVE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089707

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

Last Name

COLEGROVE

Business Name

MIRIAM A COLEGROVE

Original Issue Date

03/25/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/21/2005