GAHLEN D WHITESIDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123399

License Status

NOT RENEWED

Business

First Name

GAHLEN D

Last Name

WHITESIDE

Business Name

GAHLEN D WHITESIDE

Original Issue Date

10/02/1967

Effective Date

10/02/1967

City

OSAGE BEACH

State

Zip

65065

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006