KLISS MYRA MCCOY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089996

License Status

NOT RENEWED

Business

First Name

KLISS

Middle

MYRA

Last Name

MCCOY

Business Name

KLISS MYRA MCCOY

Original Issue Date

07/30/2004

Effective Date

11/21/2012

Expiration Date

01/31/2015

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015