BRONC S LEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041404380

License Status

NOT RENEWED

Business

First Name

BRONC

Middle

Last Name

LEACH

Business Name

BRONC S LEACH

Original Issue Date

08/03/2012

Effective Date

04/03/2014

Expiration Date

05/31/2016

City

JOPLIN

State

Zip

64804

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016