BOBBY DEAN PRUITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084701

License Status

NOT RENEWED

Business

First Name

BOBBY

Middle

DEAN

Last Name

PRUITT

Business Name

BOBBY DEAN PRUITT

Original Issue Date

02/29/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005