MARY KING BRETHOUR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009230

License Status

INACTIVE

Business

First Name

MARY

Middle

KING

Last Name

BRETHOUR

Business Name

MARY KING BRETHOUR

Original Issue Date

11/08/2011

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

HAMPTON COVE

State

Zip

35763

County

ALABAMA

Ever Disciplined

LastModifiedDate

03/06/2014