THEOTIS BRANCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025132

License Status

INACTIVE

Business

First Name

THEOTIS

Last Name

BRANCH

Business Name

THEOTIS BRANCH

Original Issue Date

07/07/1969

Expiration Date

01/31/1987

City

ATHENS

State

Zip

35611

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/21/2005