CRYSTAL K BREAULT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115797

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

BREAULT

Business Name

CRYSTAL K BREAULT

Original Issue Date

10/05/2012

Effective Date

01/25/2017

Expiration Date

01/31/2019

City

PALMYRA

State

Zip

63461

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/28/2019