MARY JANE DICKEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104673

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

DICKEN

Business Name

MARY JANE DICKEN

Original Issue Date

11/29/1962

Effective Date

11/29/1962

Expiration Date

05/31/2000

City

PRESCOTT

State

Zip

86305

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006