ALLEN F VIDAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334820

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

Last Name

VIDAL

Business Name

ALLEN F VIDAL

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

05/31/2006

City

PORT ORANGE

State

Zip

32127

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006