DEBRA A CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041286412

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

CROCKETT

Business Name

DEBRA A CROCKETT

Original Issue Date

12/28/1994

Effective Date

12/28/1994

Expiration Date

05/31/2002

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006