DEBRA MARIE COLLOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174196

License Status

INACTIVE

Business

First Name

DEBRA MARIE

Last Name

COLLOM

Business Name

DEBRA MARIE COLLOM

Original Issue Date

06/03/1977

Effective Date

06/03/1977

Expiration Date

05/31/1984

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006