MARIE S LODGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041053965

License Status

NOT RENEWED

Business

First Name

MARIE S

Last Name

LODGE

Business Name

MARIE S LODGE

Original Issue Date

05/29/1946

Effective Date

05/29/1946

Expiration Date

05/31/2004

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/09/2006