DIXIE L AMBROSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195489

License Status

NOT RENEWED

Business

First Name

DIXIE L

Last Name

AMBROSE

Business Name

DIXIE L AMBROSE

Original Issue Date

05/06/1980

Effective Date

05/12/2020

Expiration Date

08/31/2022

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2022