ANGELA G BRYANT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079924

License Status

NOT RENEWED

Business

First Name

ANGELA G

Last Name

BRYANT

Business Name

ANGELA G BRYANT

Original Issue Date

10/29/1996

Effective Date

05/21/2004

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2002005705

Action

Suspension

Discipline Start Date

05/21/2004

Discipline Reason

Diverted Tylenol #4 from Rockford Health Care.