SANDRA LEE CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032442

License Status

NOT RENEWED

Business

First Name

SANDRA LEE

Last Name

CROCKETT

Business Name

SANDRA LEE CROCKETT

Original Issue Date

12/14/1972

Effective Date

01/15/2015

Expiration Date

01/31/2017

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

03/27/2017