DEMETRA LATHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025266

License Status

NOT RENEWED

Business

First Name

DEMETRA

Last Name

LATHAN

Business Name

DEMETRA LATHAN

Original Issue Date

07/07/1969

Expiration Date

01/31/1985

City

SPRINGFIELD

State

Zip

62703

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005