MARK ALLEN VAN DOREN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041325268

License Status

INACTIVE

Business

First Name

MARK

Middle

ALLEN

Last Name

VAN DOREN

Business Name

MARK ALLEN VAN DOREN

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

05/31/2002

City

WICHITA

State

Zip

67235

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006