MALEA S HAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081583

License Status

NOT RENEWED

Business

First Name

MALEA

Middle

Last Name

HAGEN

Business Name

MALEA S HAGEN

Original Issue Date

10/28/1997

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

FIELDON

State

Zip

62031

Ever Disciplined

LastModifiedDate

10/15/2005