MISTY R WATHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108585

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

Last Name

WATHAN

Business Name

MISTY R WATHAN

Original Issue Date

08/24/2009

Effective Date

08/24/2009

Expiration Date

01/31/2011

City

RINARD

State

Zip

62878

County

WAYNE

Ever Disciplined

LastModifiedDate

03/10/2011