STARLA R SISSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116216

License Status

NOT RENEWED

Business

First Name

STARLA

Middle

Last Name

SISSOM

Business Name

STARLA R SISSOM

Original Issue Date

12/24/2012

Effective Date

01/25/2021

Expiration Date

01/31/2023

City

THEBES

State

Zip

62990

County

ALEXANDER

Ever Disciplined

LastModifiedDate

03/31/2023