ALICE F CROCKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074306

License Status

INACTIVE

Business

First Name

ALICE F

Last Name

CROCKETT

Business Name

ALICE F CROCKETT

Original Issue Date

12/15/1993

Effective Date

11/18/2004

Expiration Date

01/31/2005

City

CARMI

State

Zip

62821

County

HARDIN

Ever Disciplined

LastModifiedDate

10/15/2005