REVA D DAHL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297809

License Status

NOT RENEWED

Business

First Name

REVA D

Last Name

DAHL

Business Name

REVA D DAHL

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

05/31/2002

City

PETERSBURG

State

Zip

62675

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006