DORETTA SMALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028881

License Status

INACTIVE

Business

First Name

DORETTA

Last Name

SMALL

Business Name

DORETTA SMALL

Original Issue Date

06/29/1971

Expiration Date

01/31/1987

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005