LEITHA H LOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013178

License Status

INACTIVE

Business

First Name

LEITHA H

Last Name

LOCK

Business Name

LEITHA H LOCK

Original Issue Date

01/29/1965

Expiration Date

01/31/1997

City

AVON

State

Zip

61415

County

FULTON

Ever Disciplined

LastModifiedDate

10/21/2005