JERRY D HOLYCROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088626

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

HOLYCROSS

Business Name

JERRY D HOLYCROSS

Original Issue Date

07/21/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

OAKWOOD

State

Zip

61858

Ever Disciplined

LastModifiedDate

10/21/2005