JACQUELINE S LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064260

License Status

NOT RENEWED

Business

First Name

JACQUELINE S

Last Name

LANE

Business Name

JACQUELINE S LANE

Original Issue Date

01/27/1987

Expiration Date

01/31/1995

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005