BRENT M FRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111464

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

FRY

Business Name

BRENT M FRY

Original Issue Date

10/18/2010

Effective Date

12/24/2012

Expiration Date

01/31/2015

City

DAVENPORT

State

Zip

33897

Ever Disciplined

LastModifiedDate

03/09/2015