LYDIA L HICKENBOTTOM - Registered Nurse License in Georgia | # 043059978

LYDIA L HICKENBOTTOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059978

License Status

NOT RENEWED

Business

N

First Name

LYDIA L

Last Name

HICKENBOTTOM

Business Name

LYDIA L HICKENBOTTOM

Original Issue Date

01/18/1985

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

GA

Ever Disciplined

N

LastModifiedDate

10/15/2005