DOLORES PAYNE MO TILLMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296518

License Status

INACTIVE

Business

First Name

DOLORES PAYNE MO

Last Name

TILLMAN

Business Name

DOLORES PAYNE MO TILLMAN

Original Issue Date

04/23/1996

Effective Date

04/23/1996

Expiration Date

05/31/2000

City

SESSER

State

Zip

62884

County

FRANKLIN

Ever Disciplined

LastModifiedDate

09/27/2006