MILDRED D SAMPLE - Registered Nurse License in Connecticut | # 043046717

MILDRED D SAMPLE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046717

License Status

NOT RENEWED

Business

N

First Name

MILDRED D

Last Name

SAMPLE

Business Name

MILDRED D SAMPLE

Original Issue Date

02/20/1979

State

CT

Ever Disciplined

N

LastModifiedDate

10/21/2005