PATRICIA A VAN HAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163523

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

VAN HAM

Business Name

PATRICIA A VAN HAM

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/2008

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/11/2008