THOMAS WAYNE CHURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216903

License Status

NOT RENEWED

Business

First Name

THOMAS WAYNE

Last Name

CHURCH

Business Name

THOMAS WAYNE CHURCH

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

05/31/1990

City

FORT WORTH

State

Zip

76116

County

TEXAS

Ever Disciplined

LastModifiedDate

09/27/2006