JUDITH L VAN TINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011699

License Status

INACTIVE

Business

First Name

JUDITH L

Last Name

VAN TINE

Business Name

JUDITH L VAN TINE

Original Issue Date

10/09/1963

Effective Date

12/15/2010

Expiration Date

01/31/2013

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

11/08/2012