HEATHER MARIE RANDALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041381176

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

RANDALL

Business Name

HEATHER MARIE RANDALL

Original Issue Date

12/11/2009

Effective Date

03/11/2010

Expiration Date

05/31/2012

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012