DIXIE HOLLENBACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040502

License Status

NOT RENEWED

Business

First Name

DIXIE

Last Name

HOLLENBACK

Business Name

DIXIE HOLLENBACK

Original Issue Date

02/02/1977

Expiration Date

01/31/1989

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

10/21/2005