NameHARLEY WAYNE EBLIN JR
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
PN.113102-M-IV Licensed Practical Nurse - M-IV 07/21/2003 07/21/2003 08/31/2004 LAPSED Examination
RN.312938- Registered Nurse 08/02/2004 05/28/2015 08/31/2017 ACTIVE Examination

Comments


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