| Name | WILLAGENE M PRATER |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.070036-MEDS | Licensed Practical Nurse - MEDS | 05/20/1983 | 04/26/2010 | 08/31/2012 | LAPSED | Examination | |||||||||