JODY L UNDERWOOD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004475

License Status

INACTIVE

Business

First Name

JODY

Middle

Last Name

UNDERWOOD

Business Name

JODY L UNDERWOOD

Original Issue Date

10/04/2002

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CENTERVILLE

State

Zip

45458

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

06/09/2008