ASHLEY N MEDLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090812

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

MEDLOCK

Business Name

ASHLEY N MEDLOCK

Original Issue Date

12/09/2004

Effective Date

12/09/2004

Expiration Date

01/31/2007

City

MOUNDS

State

Zip

62964

County

PULASKI

Ever Disciplined

LastModifiedDate

03/16/2007