MARY S MATHER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

MARY S

Last Name

MATHER

Business Name

MARY S MATHER

Original Issue Date

11/14/2001

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014