SONOVIA M CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100153

License Status

NOT RENEWED

Business

First Name

SONOVIA

Middle

Last Name

CROCKETT

Business Name

SONOVIA M CROCKETT

BusinessDBA

REEVES

Original Issue Date

08/05/2005

Effective Date

08/05/2005

Expiration Date

01/31/2007

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/16/2007