GARY DEAN DAVIDSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090640

License Status

NOT RENEWED

Business

First Name

GARY

Middle

DEAN

Last Name

DAVIDSON

Business Name

GARY DEAN DAVIDSON

Original Issue Date

11/15/2004

Effective Date

12/11/2012

Expiration Date

01/31/2015

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/09/2015