DORTHEA LAUREL PUCKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026205

License Status

INACTIVE

Business

First Name

DORTHEA LAUREL

Last Name

PUCKETT

Business Name

DORTHEA LAUREL PUCKETT

Original Issue Date

02/02/1970

Expiration Date

05/01/1982

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/21/2005