WILLIE L TEAL-DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038149

License Status

NOT RENEWED

Business

First Name

WILLIE L

Last Name

TEAL-DAVIS

Business Name

WILLIE L TEAL-DAVIS

Original Issue Date

10/17/1975

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005