RANDALL G CHILDRESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047854

License Status

NOT RENEWED

Business

First Name

RANDALL G

Last Name

CHILDRESS

Business Name

RANDALL G CHILDRESS

Original Issue Date

01/07/1980

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/15/2005