MARY K MONTEITH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MONTEITH

Business Name

MARY K MONTEITH

Original Issue Date

04/30/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

08/11/2010