Alta R Bacon
InactiveIllinois license 041055306
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041055306
- Status
- Inactive
- First issued
- December 30, 1946
- Expired
- May 31, 1984
- License holder
- Alta R Bacon
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 12/30/1946
Contact
Roseville, IL 61473
Warren County