KIM R POTTER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039566

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

POTTER

Business Name

KIM R POTTER

Original Issue Date

06/11/1976

Effective Date

01/15/2003

Expiration Date

01/31/2003

City

HUDSON

State

Zip

61748

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/15/2005