KENNETH WAYNE REAVILL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041691

License Status

NOT RENEWED

Business

First Name

KENNETH WAYNE

Last Name

REAVILL

Business Name

KENNETH WAYNE REAVILL

Original Issue Date

04/12/1977

Expiration Date

05/01/1982

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005