ATHA HICKENBOTTOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009764

License Status

INACTIVE

Business

First Name

ATHA

Last Name

HICKENBOTTOM

Business Name

ATHA HICKENBOTTOM

Original Issue Date

04/03/1961

Expiration Date

01/31/1987

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005