LANCELOT ASSAM EBOT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107231

License Status

NOT RENEWED

Business

First Name

LANCELOT

Middle

ASSAM

Last Name

EBOT

Business Name

LANCELOT ASSAM EBOT

Original Issue Date

01/02/2009

Effective Date

01/19/2021

Expiration Date

01/31/2023

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

03/31/2023