MARY LOUISE BREIVIK - Registered Nurse License in Florida | # 041174779

MARY LOUISE BREIVIK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174779

License Status

NOT RENEWED

Business

N

First Name

MARY LOUISE

Last Name

BREIVIK

Business Name

MARY LOUISE BREIVIK

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/01/1982

State

FL

Ever Disciplined

N

LastModifiedDate

09/27/2006