IDA R EDGECOMBE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019784

License Status

NOT RENEWED

Business

First Name

IDA R

Last Name

EDGECOMBE

Business Name

IDA R EDGECOMBE

Original Issue Date

06/22/1967

Expiration Date

01/31/1995

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005