TOMI K INGERSOLL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089404

License Status

INACTIVE

Business

First Name

TOMI

Middle

Last Name

INGERSOLL

Business Name

TOMI K INGERSOLL

Original Issue Date

12/29/2003

Effective Date

12/20/2004

Expiration Date

01/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005