KATHY J RANDOLPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064019

License Status

NOT RENEWED

Business

First Name

KATHY J

Last Name

RANDOLPH

Business Name

KATHY J RANDOLPH

Original Issue Date

01/17/1987

Effective Date

12/06/2022

Expiration Date

02/28/2025

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/08/2025