DONNA J MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107638

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

MONTGOMERY

Business Name

DONNA J MONTGOMERY

Original Issue Date

03/12/2009

Effective Date

01/29/2015

Expiration Date

01/31/2017

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017