DORTHEA LAUREL PUCKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213003

License Status

INACTIVE

Business

First Name

DORTHEA LAUREL

Last Name

PUCKETT

Business Name

DORTHEA LAUREL PUCKETT

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1992

City

TYLER

State

Zip

75707

County

TEXAS

Ever Disciplined

LastModifiedDate

09/27/2006