ANTHONY W KISSIAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078565

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

Last Name

KISSIAR

Business Name

ANTHONY W KISSIAR

Original Issue Date

11/15/1995

Effective Date

11/17/2000

Expiration Date

01/31/2001

City

TAMMS

State

Zip

62988

County

ALEXANDER

Ever Disciplined

LastModifiedDate

10/15/2005