MARY C HUSTAVA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041062038

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

HUSTAVA

Business Name

MARY C HUSTAVA

Original Issue Date

11/08/1948

Effective Date

11/08/1948

Expiration Date

05/31/1994

City

POCAHONTAS

State

Zip

62275

County

BOND

Ever Disciplined

LastModifiedDate

09/27/2006