LEAH L VAN HAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071378

License Status

NOT RENEWED

Business

First Name

LEAH L

Last Name

VAN HAM

Business Name

LEAH L VAN HAM

Original Issue Date

01/23/1992

Expiration Date

01/31/1993

City

CARBONDALE

State

Zip

62903

Ever Disciplined

LastModifiedDate

10/21/2005