WILMA DALE FAIRCLOTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346564

License Status

NOT RENEWED

Business

First Name

WILMA

Middle

DALE

Last Name

FAIRCLOTH

Business Name

WILMA DALE FAIRCLOTH

Original Issue Date

07/07/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

FOREST

State

Zip

39117

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

08/16/2010