TIMOTHY RAYMOND COFFMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041301

License Status

INACTIVE

Business

First Name

TIMOTHY RAYMOND

Last Name

COFFMAN

Business Name

TIMOTHY RAYMOND COFFMAN

Original Issue Date

02/02/1977

Effective Date

01/21/2005

Expiration Date

01/31/2005

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/15/2005