CLIFFORD BRUCE DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348144

License Status

NOT RENEWED

Business

First Name

CLIFFORD

Middle

BRUCE

Last Name

DAVIS

Business Name

CLIFFORD BRUCE DAVIS

Original Issue Date

08/24/2005

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014