JASON M MODORY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041317023

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

MODORY

Business Name

JASON M MODORY

Original Issue Date

10/07/1999

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2014