TREVA MCCARTY DICKERMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037958

License Status

INACTIVE

Business

First Name

TREVA MCCARTY

Last Name

DICKERMAN

Business Name

TREVA MCCARTY DICKERMAN

Original Issue Date

10/17/1975

Expiration Date

05/01/1982

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005