MOLLIE M KEITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119639

License Status

INACTIVE

Business

First Name

MOLLIE M

Last Name

KEITH

Business Name

MOLLIE M KEITH

Original Issue Date

11/07/1966

Effective Date

07/01/2010

Expiration Date

05/31/2012

City

ALTO PASS

State

Zip

62905

County

UNION

Ever Disciplined

LastModifiedDate

03/08/2012