BLAIR V HEISNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102848

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

Last Name

HEISNER

Business Name

BLAIR V HEISNER

Original Issue Date

12/08/2006

Effective Date

01/20/2009

Expiration Date

01/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/10/2011