MARY JANE NOVAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162907

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

NOVAK

Business Name

MARY JANE NOVAK

Original Issue Date

10/24/1975

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

LAKESIDE

State

Zip

85929

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/10/2012