ANGELA SUE LIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345342

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

SUE

Last Name

LIST

Business Name

ANGELA SUE LIST

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

10/09/2006