JODY DOUGLASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048681

License Status

NOT RENEWED

Business

First Name

JODY

Last Name

DOUGLASS

Business Name

JODY DOUGLASS

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

10/21/2005