TONI G SELF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062078

License Status

NOT RENEWED

Business

First Name

TONI G

Last Name

SELF

Business Name

TONI G SELF

Original Issue Date

01/10/1986

Effective Date

10/30/2003

Expiration Date

01/31/2003

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

06/02/2005

Case Number

2000003371

Action

Suspension

Discipline Start Date

10/30/2003

Discipline Reason

Violated the terms and conditions of a previously imposed probation.