ANDREA B COLLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090532

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

COLLUM

Business Name

ANDREA B COLLUM

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

01/31/2007

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

03/16/2007