DONALD R DODGE JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066113

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

DODGE JR

Business Name

DONALD R DODGE JR

Original Issue Date

09/03/1988

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

BEMENT

State

Zip

61813

County

PIATT

Ever Disciplined

LastModifiedDate

10/15/2005