ROBERT BRIAN LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085040

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

BRIAN

Last Name

LARSON

Business Name

ROBERT BRIAN LARSON

Original Issue Date

06/23/2000

Effective Date

11/01/2004

Expiration Date

01/31/2007

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/16/2007