TIFFINY J RANDOLPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110155

License Status

NOT RENEWED

Business

First Name

TIFFINY

Middle

Last Name

RANDOLPH

Business Name

TIFFINY J RANDOLPH

Original Issue Date

04/01/2010

Effective Date

12/07/2010

Expiration Date

01/31/2013

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

03/20/2013