MYRTIE MAE LICKEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038674

License Status

INACTIVE

Business

First Name

MYRTIE MAE

Last Name

LICKEY

Business Name

MYRTIE MAE LICKEY

Original Issue Date

01/06/1976

Expiration Date

01/31/1993

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005