AMANDA M GRAHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089195

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GRAHAM

Business Name

AMANDA M GRAHAM

Original Issue Date

11/06/2003

Effective Date

02/07/2005

Expiration Date

01/31/2007

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/16/2007