BEULAH SAMPLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180888

License Status

NOT RENEWED

Business

First Name

BEULAH

Last Name

SAMPLE

Business Name

BEULAH SAMPLE

Original Issue Date

05/08/1978

Effective Date

05/08/1978

Expiration Date

05/01/1982

City

RIVES JUNCTION

State

Zip

49277

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006