TAHITI RENE CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054467

License Status

NOT RENEWED

Business

First Name

TAHITI RENE

Last Name

CROCKETT

Business Name

TAHITI RENE CROCKETT

Original Issue Date

07/27/1982

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

LAS VEGAS

State

Zip

89121

County

CLARK

Ever Disciplined

LastModifiedDate

03/17/2009