Name | HATTIE WILLIS |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
PN.016371- | Licensed Practical Nurse | 05/31/1960 | 06/24/1992 | 08/31/1994 | LAPSED | Endorsement |