GARY RYAN HOLBACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350093

License Status

NOT RENEWED

Business

First Name

GARY

Middle

RYAN

Last Name

HOLBACK

Business Name

GARY RYAN HOLBACK

Original Issue Date

11/15/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

08/16/2010