KEITH A LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090326

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

LEWIS

Business Name

KEITH A LEWIS

Original Issue Date

09/24/2004

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

03/16/2007