ETHEL JEAN POLMOUNTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083847

License Status

NOT RENEWED

Business

First Name

ETHEL

Middle

JEAN

Last Name

POLMOUNTER

Business Name

ETHEL JEAN POLMOUNTER

Original Issue Date

07/21/1999

Effective Date

01/16/2009

Expiration Date

01/31/2011

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

03/10/2011