LAURETTA P SHORT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010475

License Status

INACTIVE

Business

First Name

LAURETTA P

Last Name

SHORT

Business Name

LAURETTA P SHORT

Original Issue Date

04/02/1962

Expiration Date

01/31/1995

City

TAYLOR SPRINGS

State

Zip

62089

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/21/2005