LUCILLE B REVIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013681

License Status

INACTIVE

Business

First Name

LUCILLE B

Last Name

REVIS

Business Name

LUCILLE B REVIS

Original Issue Date

06/25/1965

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005