TIFFINY J RANDOLPH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041400729

License Status

INACTIVE

Business

First Name

TIFFINY

Middle

Last Name

RANDOLPH

Business Name

TIFFINY J RANDOLPH

Original Issue Date

04/10/2012

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

03/08/2020