CLEMENS E UPTMOR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342322

License Status

INACTIVE

Business

First Name

CLEMENS

Middle

Last Name

UPTMOR

Business Name

CLEMENS E UPTMOR

Original Issue Date

08/31/2004

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/08/2012