THERESA A RUBIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089438

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

RUBIN

Business Name

THERESA A RUBIN

Original Issue Date

01/05/2004

Effective Date

01/05/2005

Expiration Date

01/31/2007

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

03/16/2007