LAYNE R CROCKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088034

License Status

NOT RENEWED

Business

First Name

LAYNE

Middle

Last Name

CROCKER

Business Name

LAYNE R CROCKER

Original Issue Date

11/26/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/21/2005