JENNIE LEE RANDOLPH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136354

License Status

INACTIVE

Business

First Name

JENNIE LEE

Last Name

RANDOLPH

Business Name

JENNIE LEE RANDOLPH

Original Issue Date

08/26/1970

Effective Date

08/26/1970

Expiration Date

05/31/2006

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006