ADAM M RANDOLPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118422

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

RANDOLPH

Business Name

ADAM M RANDOLPH

Original Issue Date

02/13/2014

Effective Date

02/13/2014

Expiration Date

01/31/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/09/2015