TEVI D LUCAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338343

License Status

NOT RENEWED

Business

First Name

TEVI

Middle

Last Name

LUCAS

Business Name

TEVI D LUCAS

Original Issue Date

11/24/2003

Effective Date

05/23/2012

Expiration Date

05/31/2014

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014