TIFFANY HICKS GARDNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100492

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

HICKS

Last Name

GARDNER

Business Name

TIFFANY HICKS GARDNER

Original Issue Date

09/29/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

11/10/2008