LESLIE WAYNE CHAMBERLAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041295

License Status

NOT RENEWED

Business

First Name

LESLIE WAYNE

Last Name

CHAMBERLAIN

Business Name

LESLIE WAYNE CHAMBERLAIN

Original Issue Date

02/02/1977

Expiration Date

05/01/1982

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/21/2005