MARK W BECKHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269921

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

BECKHAM

Business Name

MARK W BECKHAM

Original Issue Date

09/28/1992

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/10/2012