BETHANY K LILLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114159

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

LILLARD

Business Name

BETHANY K LILLARD

Original Issue Date

01/11/2012

Effective Date

09/26/2013

Expiration Date

01/31/2015

City

PALM HARBOR

State

Zip

34684

Ever Disciplined

LastModifiedDate

08/24/2015