AMANDA BLAKE HUMPHREY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086328

License Status

INACTIVE

Business

First Name

AMANDA

Middle

BLAKE

Last Name

HUMPHREY

Business Name

AMANDA BLAKE HUMPHREY

Original Issue Date

07/26/2001

Effective Date

01/13/2003

Expiration Date

01/31/2003

City

NEW LONDON

State

Zip

63459

Ever Disciplined

LastModifiedDate

10/21/2005