| Name | FLOYD ALLEN BROOKS IV |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| Practical Nurse w/MEDS- Temporary Work Permit | PENDING | ||||||||||||||
| PN.151985-MEDS | Licensed Practical Nurse - MEDS | 01/29/2013 | 01/29/2013 | 08/31/2014 | LAPSED | Endorsement | |||||||||