FERN A LEATHERWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041038271

License Status

NOT RENEWED

Business

First Name

FERN A

Last Name

LEATHERWOOD

Business Name

FERN A LEATHERWOOD

Original Issue Date

01/10/1940

Effective Date

01/10/1940

Expiration Date

05/31/1988

City

ORMOND BEACH

State

Zip

32074

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006