CORLISS RENEE CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052757

License Status

NOT RENEWED

Business

First Name

CORLISS RENEE

Last Name

CROCKETT

Business Name

CORLISS RENEE CROCKETT

Original Issue Date

01/13/1982

Expiration Date

01/31/1995

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005