RUDOLPH P DEPYATIC Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083097

License Status

INACTIVE

Business

First Name

RUDOLPH

Middle

Last Name

DEPYATIC

Business Name

RUDOLPH P DEPYATIC

Original Issue Date

11/18/1998

Effective Date

12/11/2008

Expiration Date

01/31/2011

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

11/03/2010