JACQUELINE BERNICE GANSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041334618

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

BERNICE

Last Name

GANSEN

Business Name

JACQUELINE BERNICE GANSEN

Original Issue Date

03/27/2003

Effective Date

03/27/2003

Expiration Date

05/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/09/2006