FERN A STREET Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089346

License Status

INACTIVE

Business

First Name

FERN A

Last Name

STREET

Business Name

FERN A STREET

Original Issue Date

12/30/1957

Effective Date

12/30/1957

Expiration Date

05/01/1982

City

JOHNSON CITY

State

Zip

37601

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/27/2006