GABRIELLE RUTH ERICSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061653

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Middle

RUTH

Last Name

ERICSON

Business Name

GABRIELLE RUTH ERICSON

Original Issue Date

07/19/1985

Effective Date

01/27/2005

Expiration Date

01/31/2007

City

INDIANAPOLIS

State

Zip

46268

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2007