DOUGLAS LEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049852

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Last Name

LEACH

Business Name

DOUGLAS LEACH

Original Issue Date

07/02/1980

Expiration Date

01/31/1993

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005