GREGORY A PUCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041361007

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

PUCKETT

Business Name

GREGORY A PUCKETT

Original Issue Date

07/13/2007

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016