LA DONNA S RANDOLPH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011900

License Status

INACTIVE

Business

First Name

LA DONNA S

Last Name

RANDOLPH

Business Name

LA DONNA S RANDOLPH

Original Issue Date

01/22/1964

Effective Date

01/28/2005

Expiration Date

01/31/2007

City

BROUGHTON

State

Zip

62817

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/03/2006