VIVIAN E PUCKETT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069113

License Status

ACTIVE

Business

First Name

VIVIAN E

Last Name

PUCKETT

Business Name

VIVIAN E PUCKETT

Original Issue Date

12/21/1990

Effective Date

01/21/2025

Expiration Date

01/31/2027

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/21/2025