KATY LYNN THOMACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396286

License Status

NOT RENEWED

Business

First Name

KATY

Middle

LYNN

Last Name

THOMACK

Business Name

KATY LYNN THOMACK

Original Issue Date

08/30/2011

Effective Date

05/14/2014

Expiration Date

05/31/2016

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/11/2016