KATHY ANNENE TENNIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049428

License Status

NOT RENEWED

Business

First Name

KATHY ANNENE

Last Name

TENNIS

Business Name

KATHY ANNENE TENNIS

Original Issue Date

07/02/1980

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/15/2005