GAYLE L LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066706

License Status

NOT RENEWED

Business

First Name

GAYLE L

Last Name

LARSEN

Business Name

GAYLE L LARSEN

Original Issue Date

01/19/1989

Effective Date

01/29/2013

Expiration Date

01/31/2015

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

03/09/2015