TEQUILA C DRAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129653

License Status

NOT RENEWED

Business

First Name

TEQUILA

Middle

Last Name

DRAKE

Business Name

TEQUILA C DRAKE

Original Issue Date

10/30/2020

Effective Date

01/25/2021

Expiration Date

01/31/2023

City

SPRINGIELD

State

Zip

62703

Ever Disciplined

LastModifiedDate

03/31/2023