ETTALEA THOMAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014325

License Status

NOT RENEWED

Business

First Name

ETTALEA

Last Name

THOMAS

Business Name

ETTALEA THOMAS

Original Issue Date

11/23/1965

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CHANDLERVILLE

State

Zip

62627

County

CASS

Ever Disciplined

LastModifiedDate

10/15/2005