TERRY L HAVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041385130

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

HAVENS

Business Name

TERRY L HAVENS

Original Issue Date

07/09/2010

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022