ANTHONY R PUCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068403

License Status

NOT RENEWED

Business

First Name

ANTHONY R

Last Name

PUCKETT

Business Name

ANTHONY R PUCKETT

Original Issue Date

04/24/1990

Expiration Date

01/31/1999

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/27/2005

Case Number

1994005532

Action

Probation

Discipline Start Date

02/24/1995

Discipline End Date

12/11/1995

Discipline Reason

Defaulted on Illinois Student Assistance loan.