BRENDA L MERRIFIELD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049615

License Status

NOT RENEWED

Business

First Name

BRENDA L

Last Name

MERRIFIELD

Business Name

BRENDA L MERRIFIELD

Original Issue Date

07/02/1980

Effective Date

10/28/2004

Expiration Date

01/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/16/2007

Case Number

1991004085

Action

Revocation

Discipline Start Date

07/11/1994

Discipline End Date

10/19/2004

Discipline Reason

Disciplined in Michigan and failed to disclose criminal conviction history.