LAVON A FROMM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068462

License Status

NOT RENEWED

Business

First Name

LAVON

Middle

Last Name

FROMM

Business Name

LAVON A FROMM

Original Issue Date

05/18/1990

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005