LILA SELF LEONBERGER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185747

License Status

NOT RENEWED

Business

First Name

LILA SELF

Last Name

LEONBERGER

Business Name

LILA SELF LEONBERGER

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/1986

City

HATTIESBURG

State

Zip

39401

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/27/2006