JACKIE L HENNENFENT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089937

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

HENNENFENT

Business Name

JACKIE L HENNENFENT

Original Issue Date

07/09/2004

Effective Date

01/24/2013

Expiration Date

01/31/2015

City

GLADSTONE

State

Zip

61437

County

HENDERSON

Ever Disciplined

LastModifiedDate

03/09/2015