TIMOTHY C EAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113113

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

EAGAN

Business Name

TIMOTHY C EAGAN

Original Issue Date

08/23/2011

Effective Date

12/19/2012

Expiration Date

01/31/2015

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/09/2015