ALISA D GIDCUMB Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082657

License Status

INACTIVE

Business

First Name

ALISA

Middle

Last Name

GIDCUMB

Business Name

ALISA D GIDCUMB

Original Issue Date

09/15/1998

Effective Date

11/14/2008

Expiration Date

01/31/2011

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

11/03/2010