MARK D WHITE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081603

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

WHITE

Business Name

MARK D WHITE

Original Issue Date

10/28/1997

Effective Date

01/12/2011

Expiration Date

01/31/2013

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/20/2013