MISTY L BOARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088157

License Status

INACTIVE

Business

First Name

MISTY

Middle

Last Name

BOARD

Business Name

MISTY L BOARD

Original Issue Date

12/27/2002

Effective Date

11/24/2004

Expiration Date

01/31/2007

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

11/03/2006