SANDRA L MIX Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063223

License Status

INACTIVE

Business

First Name

SANDRA L

Last Name

MIX

Business Name

SANDRA L MIX

Original Issue Date

07/01/1986

Expiration Date

01/31/1999

City

KENNEY

State

Zip

61749

County

DE WITT

Ever Disciplined

LastModifiedDate

05/27/2005