TERRY A RACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210822

License Status

NOT RENEWED

Business

First Name

TERRY A

Last Name

RACE

Business Name

TERRY A RACE

Original Issue Date

09/23/1982

Effective Date

09/23/1982

Expiration Date

05/31/2004

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

10/09/2006