HEATHER A BRIDEGROOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113821

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

BRIDEGROOM

Business Name

HEATHER A BRIDEGROOM

Original Issue Date

10/27/2011

Effective Date

01/17/2013

Expiration Date

01/31/2015

City

BRIDGEPORT

State

Zip

62417

County

LAWRENCE

Ever Disciplined

LastModifiedDate

03/09/2015