FORREST O DEIMEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104625

License Status

NOT RENEWED

Business

First Name

FORREST

Middle

Last Name

DEIMEL

Business Name

FORREST O DEIMEL

Original Issue Date

10/22/2007

Effective Date

10/22/2007

Expiration Date

01/31/2009

City

WEST SALEM

State

Zip

62476

County

EDWARDS

Ever Disciplined

LastModifiedDate

03/17/2009