FRANK LEROY MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349582

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

LEROY

Last Name

MONTGOMERY

Business Name

FRANK LEROY MONTGOMERY

Original Issue Date

10/17/2005

Effective Date

10/17/2005

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008