IDA J HAWK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089329

License Status

NOT RENEWED

Business

First Name

IDA

Middle

Last Name

HAWK

Business Name

IDA J HAWK

Original Issue Date

12/05/2003

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/16/2007