JAMIE M RANDOLPH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008647

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

RANDOLPH

Business Name

JAMIE M RANDOLPH

Original Issue Date

02/07/2011

Effective Date

02/07/2011

Expiration Date

05/31/2012

City

DES MOINES

State

Zip

50317

County

ADAMS

Ever Disciplined

LastModifiedDate

07/10/2012