BETTY A MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057132

License Status

NOT RENEWED

Business

First Name

BETTY A

Last Name

MONTGOMERY

Business Name

BETTY A MONTGOMERY

Original Issue Date

05/09/1983

Effective Date

01/28/2011

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2013