BRENDA GENIECE HEATON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114556

License Status

INACTIVE

Business

First Name

BRENDA GENIECE

Last Name

HEATON

Business Name

BRENDA GENIECE HEATON

Original Issue Date

09/08/1965

Effective Date

03/23/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/14/2017