LAURIE D MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054322

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

MONTGOMERY

Business Name

LAURIE D MONTGOMERY

Original Issue Date

07/27/1982

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

FLAGSTAFF

State

Zip

86004

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/15/2005