MARY BERNEICE MACHULA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193099

License Status

INACTIVE

Business

First Name

MARY BERNEICE

Last Name

MACHULA

Business Name

MARY BERNEICE MACHULA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1998

City

FLAGSTAFF

State

Zip

86004

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006