E GARY GUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207448

License Status

NOT RENEWED

Business

First Name

E GARY

Last Name

GUM

Business Name

E GARY GUM

Original Issue Date

10/07/1981

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

RIO RANCHO

State

Zip

87144

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

07/03/2014