KAYLEEN ANNE LATTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342919

License Status

NOT RENEWED

Business

First Name

KAYLEEN

Middle

ANNE

Last Name

LATTA

Business Name

KAYLEEN ANNE LATTA

Original Issue Date

09/23/2004

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

ATALISSA

State

Zip

52720

County

IOWA

Ever Disciplined

LastModifiedDate

07/10/2012