NameTODD ROBERT VAN HORN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.407936-ENDS Practical Nurse - Temporary Work Permit 02/02/2006 02/02/2006 08/02/2006 CLOSED
PN.121760-M-IV Licensed Practical Nurse - M-IV 03/06/2006 05/24/2010 08/31/2012 LAPSED Endorsement

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