TOMMIE J DURHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085500

License Status

NOT RENEWED

Business

First Name

TOMMIE

Middle

Last Name

DURHAM

Business Name

TOMMIE J DURHAM

Original Issue Date

10/18/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

WEST PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

10/21/2005