PATRICE R TUCKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090094

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

TUCKER

Business Name

PATRICE R TUCKER

Original Issue Date

08/24/2004

Effective Date

02/01/2005

Expiration Date

01/31/2007

City

POTOMAC

State

Zip

61865

County

VERMILION

Ever Disciplined

LastModifiedDate

03/16/2007