DEBORAH MARIE MITAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056425

License Status

NOT RENEWED

Business

First Name

DEBORAH MARIE

Last Name

MITAN

Business Name

DEBORAH MARIE MITAN

Original Issue Date

02/23/1983

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005