CONNIE SUE SAMPLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044764

License Status

NOT RENEWED

Business

First Name

CONNIE SUE

Last Name

SAMPLE

Business Name

CONNIE SUE SAMPLE

Original Issue Date

06/29/1978

Expiration Date

01/31/1993

City

WHITELAND

State

Zip

46184

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005