AUSTIN BROOKE LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041457010

License Status

NOT RENEWED

Business

First Name

AUSTIN

Middle

BROOKE

Last Name

LANE

Business Name

AUSTIN BROOKE LANE

Original Issue Date

08/16/2017

Effective Date

08/16/2017

Expiration Date

05/31/2018

City

INDIAN LAND

State

Zip

29707

Ever Disciplined

LastModifiedDate

07/19/2018