PAYTON LEIDHOLM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041498759

License Status

NOT RENEWED

Business

First Name

PAYTON

Last Name

LEIDHOLM

Business Name

PAYTON LEIDHOLM

Original Issue Date

08/06/2020

Effective Date

08/06/2022

Expiration Date

06/30/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/05/2025