PHILIP R CROUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041352222

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

CROUCH

Business Name

PHILIP R CROUCH

Original Issue Date

04/19/2006

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

COFFEEN

State

Zip

62017

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/14/2021