DIXIE R HOUSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109566

License Status

INACTIVE

Business

First Name

DIXIE R

Last Name

HOUSE

Business Name

DIXIE R HOUSE

Original Issue Date

04/01/1964

Effective Date

03/25/2010

Expiration Date

05/31/2012

City

HARVEL

State

Zip

62538

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/08/2012