MARY KIM MOUSAW - Registered Nurse License in New York | # 041196622

MARY KIM MOUSAW

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196622

License Status

NOT RENEWED

Business

N

First Name

MARY KIM

Last Name

MOUSAW

Business Name

MARY KIM MOUSAW

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1986

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006