MARK E INGRAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086565

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

INGRAM

Business Name

MARK E INGRAM

Original Issue Date

10/02/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WORTHING

State

Zip

57077

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/15/2005