ANDRE LEVESTER MCCOLLOUGH MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357262

License Status

NOT RENEWED

Business

Title

First Name

ANDRE

Middle

LEVESTER

Last Name

MCCOLLOUGH

Business Name

ANDRE LEVESTER MCCOLLOUGH MD

Original Issue Date

11/16/2006

Effective Date

11/16/2006

Expiration Date

05/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/11/2008