WANDA A NORTHERN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031208

License Status

NOT RENEWED

Business

First Name

WANDA A

Last Name

NORTHERN

Business Name

WANDA A NORTHERN

Original Issue Date

10/04/1972

City

CHARLESTON

State

Zip

63823

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/21/2005