LUCILLE BEVERLY ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036701

License Status

NOT RENEWED

Business

First Name

LUCILLE BEVERLY

Last Name

ANDERSON

Business Name

LUCILLE BEVERLY ANDERSON

Original Issue Date

01/30/1975

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/11/2021