MARK A TREVATHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077861

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

TREVATHAN

Business Name

MARK A TREVATHAN

Original Issue Date

09/06/1995

Expiration Date

01/31/1999

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/27/2005