HEATHER L SELF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041355406

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SELF

Business Name

HEATHER L SELF

Original Issue Date

08/28/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

08/16/2010