DIXIE H PEREZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017390

License Status

NOT RENEWED

Business

First Name

DIXIE H

Last Name

PEREZ

Business Name

DIXIE H PEREZ

Original Issue Date

12/19/1966

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/15/2005