MISTY L DEHAVEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086493

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

DEHAVEN

Business Name

MISTY L DEHAVEN

Original Issue Date

09/14/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/15/2005