EDIENE BASTOS DOS SANTOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088084

License Status

NOT RENEWED

Business

First Name

EDIENE

Middle

BASTOS

Last Name

DOS SANTOS

Business Name

EDIENE BASTOS DOS SANTOS

Original Issue Date

12/10/2002

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

OSHKOSH

State

Zip

54901

Ever Disciplined

LastModifiedDate

03/20/2013