LEALLEN LEE HAFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126831

License Status

NOT RENEWED

Business

First Name

LEALLEN

Middle

LEE

Last Name

HAFER

Business Name

LEALLEN LEE HAFER

Original Issue Date

02/23/2019

Effective Date

02/23/2019

Expiration Date

01/31/2021

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021