JERRY D LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035611

License Status

NOT RENEWED

Business

First Name

JERRY D

Last Name

LEWIS

Business Name

JERRY D LEWIS

Original Issue Date

09/11/1974

Effective Date

11/16/2010

Expiration Date

01/31/2013

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

1990004259

Action

Probation

Discipline Start Date

01/18/1991

Discipline End Date

01/18/1993

Discipline Reason

Submitted a non-bankable remittance to the Department.