AMANDA LEE GRAHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343759

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEE

Last Name

GRAHAM

Business Name

AMANDA LEE GRAHAM

Original Issue Date

11/19/2004

Effective Date

04/19/2010

Expiration Date

05/31/2012

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012