EDWINA M LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100987

License Status

NOT RENEWED

Business

First Name

EDWINA

Middle

Last Name

LANE

Business Name

EDWINA M LANE

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

01/31/2007

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/16/2007