LEASE MAE BRENT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089589

License Status

NOT RENEWED

Business

First Name

LEASE

Middle

MAE

Last Name

BRENT

Business Name

LEASE MAE BRENT

Original Issue Date

02/19/2004

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

03/17/2009