ADAM J LEESTMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419335

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

LEESTMA

Business Name

ADAM J LEESTMA

Original Issue Date

04/02/2014

Effective Date

04/02/2014

Expiration Date

05/31/2016

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016