ROXANNE LEISKY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

ROXANNE

Last Name

LEISKY

Business Name

ROXANNE LEISKY

Original Issue Date

12/18/2003

Effective Date

06/02/2008

Expiration Date

05/31/2010

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

08/11/2010