EVON A LEACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216837

License Status

NOT RENEWED

Business

First Name

EVON A

Last Name

LEACH

Business Name

EVON A LEACH

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

05/31/1984

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006