MARY I KIVISTO Registered Nurse License verification

Business Entity

INOPERATIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041053219

License Status

INOPERATIVE

Business

First Name

MARY I

Last Name

KIVISTO

Business Name

MARY I KIVISTO

Original Issue Date

01/30/1946

Effective Date

01/30/1946

Expiration Date

05/01/1982

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/27/2006