DEADRA L MACON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255067

License Status

NOT RENEWED

Business

First Name

DEADRA L

Last Name

MACON

Business Name

DEADRA L MACON

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

05/31/1996

City

PROSPER

State

Zip

75078

Ever Disciplined

LastModifiedDate

10/30/2018