JACOB TYLER MADDEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041520439

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

TYLER

Last Name

MADDEN

Business Name

JACOB TYLER MADDEN

Original Issue Date

01/25/2022

Effective Date

08/09/2022

Expiration Date

06/30/2024

City

SELLERSBURG

State

Zip

47172

Ever Disciplined

LastModifiedDate

02/05/2025