TREVOR B STORM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089001

License Status

NOT RENEWED

Business

First Name

TREVOR

Middle

Last Name

STORM

Business Name

TREVOR B STORM

Original Issue Date

10/02/2003

Effective Date

12/01/2008

Expiration Date

01/31/2011

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

2004002486

Action

Probation

Discipline Start Date

01/08/2007

Discipline End Date

10/02/2008

Discipline Reason

restored to probation.