ALISA M SUDLOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100162

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

Last Name

SUDLOW

Business Name

ALISA M SUDLOW

Original Issue Date

08/08/2005

Effective Date

08/08/2005

Expiration Date

01/31/2007

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

03/16/2007