MARILYN L DAVIS LEATHERWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177497

License Status

NOT RENEWED

Business

First Name

MARILYN L

Last Name

DAVIS LEATHERWOOD

Business Name

MARILYN L DAVIS LEATHERWOOD

Original Issue Date

10/12/1977

Effective Date

05/10/2010

Expiration Date

05/31/2012

City

SWANSEA

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012