JODIE A PROWANT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234200

License Status

NOT RENEWED

Business

First Name

JODIE A

Last Name

PROWANT

Business Name

JODIE A PROWANT

Original Issue Date

12/05/1985

Effective Date

12/05/1985

Expiration Date

05/31/1986

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

09/27/2006