MICHELLE A UNDERWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100482

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

UNDERWOOD

Business Name

MICHELLE A UNDERWOOD

Original Issue Date

09/29/2005

Effective Date

12/22/2010

Expiration Date

01/31/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/20/2013