LAURA A HICKENBOTTOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086736

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HICKENBOTTOM

Business Name

LAURA A HICKENBOTTOM

Original Issue Date

11/07/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

TEUTOPOLIS

State

Zip

62467

Ever Disciplined

LastModifiedDate

10/21/2005