MARY SUSAN PUTMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000464

License Status

INACTIVE

Business

First Name

MARY SUSAN

Last Name

PUTMAN

Business Name

MARY SUSAN PUTMAN

Original Issue Date

05/23/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

06/09/2008