LANA TIFFANY POTTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312790

License Status

NOT RENEWED

Business

First Name

LANA

Middle

TIFFANY

Last Name

POTTER

Business Name

LANA TIFFANY POTTER

Original Issue Date

12/23/1998

Effective Date

04/11/2014

Expiration Date

05/31/2016

City

BROWNSTOWN

State

Zip

62418

County

FAYETTE

Ever Disciplined

LastModifiedDate

07/11/2016