MELANY C RUSTEBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110692

License Status

NOT RENEWED

Business

First Name

MELANY

Middle

Last Name

RUSTEBERG

Business Name

MELANY C RUSTEBERG

Original Issue Date

08/03/2010

Effective Date

11/19/2012

Expiration Date

01/31/2015

City

FULTS

State

Zip

62244

County

MONROE

Ever Disciplined

LastModifiedDate

03/09/2015