DEITRA L ALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083015

License Status

INACTIVE

Business

First Name

DEITRA

Middle

Last Name

ALLEN

Business Name

DEITRA L ALLEN

Original Issue Date

11/04/1998

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

11/14/2018