DAISY P COCKRUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011176

License Status

INACTIVE

Business

First Name

DAISY P

Last Name

COCKRUM

Business Name

DAISY P COCKRUM

Original Issue Date

04/09/1963

Expiration Date

01/31/1991

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005