MARY H PUCKETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041054594

License Status

INACTIVE

Business

First Name

MARY H

Last Name

PUCKETT

Business Name

MARY H PUCKETT

Original Issue Date

09/23/1946

Effective Date

09/23/1946

Expiration Date

05/31/1994

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006