DAWN M COUSINS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086406

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

COUSINS

Business Name

DAWN M COUSINS

Original Issue Date

08/23/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/15/2005