JAMIE M RANDOLPH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

RANDOLPH

Business Name

JAMIE M RANDOLPH

Original Issue Date

02/08/2011

Effective Date

02/08/2011

Expiration Date

05/31/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/10/2012