OPAL V JOLLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009080

License Status

INACTIVE

Business

First Name

OPAL V

Last Name

JOLLY

Business Name

OPAL V JOLLY

Original Issue Date

01/29/1960

Effective Date

01/20/2005

Expiration Date

01/31/2007

City

ODEN

State

Zip

62870

County

MARION

Ever Disciplined

LastModifiedDate

11/03/2006