TAMMY J LEATHERMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312089

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

LEATHERMON

Business Name

TAMMY J LEATHERMON

Original Issue Date

10/20/1998

Effective Date

10/20/1998

Expiration Date

05/31/2004

City

HINDSBORO

State

Zip

61930

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/09/2006