| Name | EILEEN D EDGERTON |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.057127-MEDS | Licensed Practical Nurse - MEDS | 05/19/1978 | 09/01/2004 | 08/31/2006 | LAPSED | Examination | |||||||||