BRENT D VANHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082836

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

VANHAM

Business Name

BRENT D VANHAM

Original Issue Date

10/02/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

10/15/2005