PATTY DIAN FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050081

License Status

NOT RENEWED

Business

First Name

PATTY DIAN

Last Name

FOWLER

Business Name

PATTY DIAN FOWLER

Original Issue Date

12/23/1980

Effective Date

01/26/2005

Expiration Date

01/31/2007

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/16/2007