THEROLENE D MAHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031205

License Status

NOT RENEWED

Business

First Name

THEROLENE D

Last Name

MAHAN

Business Name

THEROLENE D MAHAN

Original Issue Date

10/04/1972

Expiration Date

05/01/1982

City

BIRMINGHAM

State

Zip

35211

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/21/2005