KRISTIE L WHITEHEAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090121

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

Last Name

WHITEHEAD

Business Name

KRISTIE L WHITEHEAD

Original Issue Date

08/26/2004

Effective Date

12/03/2004

Expiration Date

01/31/2007

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/16/2007