AMY L MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100686

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

MONTGOMERY

Business Name

AMY L MONTGOMERY

Original Issue Date

10/20/2005

Effective Date

11/18/2008

Expiration Date

01/31/2011

City

HOYLETON

State

Zip

62803

County

WASHINGTON

Ever Disciplined

LastModifiedDate

03/10/2011