OTASOWIE F IMUDIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113978

License Status

NOT RENEWED

Business

First Name

OTASOWIE

Middle

Last Name

IMUDIA

Business Name

OTASOWIE F IMUDIA

Original Issue Date

11/29/2011

Effective Date

11/29/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013