ANITA L VAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056528

License Status

NOT RENEWED

Business

First Name

ANITA L

Last Name

VAN

Business Name

ANITA L VAN

Original Issue Date

02/23/1983

Effective Date

01/07/2005

Expiration Date

01/31/2007

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

03/16/2007