GREG A LANDIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089101

License Status

INACTIVE

Business

First Name

GREG

Middle

Last Name

LANDIS

Business Name

GREG A LANDIS

Original Issue Date

10/17/2003

Effective Date

11/01/2004

Expiration Date

01/31/2007

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

11/03/2006