AMANDA BLAKE HUMPHREY - Registered Nurse License in Missouri | # 043086328

AMANDA BLAKE HUMPHREY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086328

License Status

INACTIVE

Business

N

First Name

AMANDA

Middle

BLAKE

Last Name

HUMPHREY

Business Name

AMANDA BLAKE HUMPHREY

Original Issue Date

07/26/2001

Effective Date

01/13/2003

Expiration Date

01/31/2003

State

MO

Ever Disciplined

N

LastModifiedDate

10/21/2005