GARY DWAYNE DURBIN II Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073030

License Status

NOT RENEWED

Business

First Name

GARY

Middle

DWAYNE

Last Name

DURBIN II

Business Name

GARY DWAYNE DURBIN II

Original Issue Date

01/06/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005