MARY KING BRETHOUR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KING

Last Name

BRETHOUR

Business Name

MARY KING BRETHOUR

Original Issue Date

11/08/2011

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014