OPAL MARIE DEWITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032255

License Status

NOT RENEWED

Business

First Name

OPAL MARIE

Last Name

DEWITT

Business Name

OPAL MARIE DEWITT

Original Issue Date

12/13/1972

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/15/2005