IDA JO MADDOX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010066

License Status

NOT RENEWED

Business

First Name

IDA JO

Last Name

MADDOX

Business Name

IDA JO MADDOX

Original Issue Date

09/21/1961

Expiration Date

01/31/1989

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005