JUSTIN D MIDDENDORF - Registered Nurse License in Illinois | # 043109290

JUSTIN D MIDDENDORF

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109290

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

D

Last Name

MIDDENDORF

Business Name

JUSTIN D MIDDENDORF

Original Issue Date

10/30/2009

Effective Date

10/30/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011