COLEEN RAE OTRADOVEC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076574

License Status

NOT RENEWED

Business

First Name

COLEEN

Middle

RAE

Last Name

OTRADOVEC

Business Name

COLEEN RAE OTRADOVEC

Original Issue Date

11/01/1994

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

SPRINGFIELD

State

Zip

65807

Ever Disciplined

LastModifiedDate

10/15/2005