HEATHER MICHELLE MACON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089508

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MICHELLE

Last Name

MACON

Business Name

HEATHER MICHELLE MACON

Original Issue Date

01/22/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005