MARY ALICE DIRKSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063218

License Status

INACTIVE

Business

First Name

MARY ALICE

Last Name

DIRKSEN

Business Name

MARY ALICE DIRKSEN

Original Issue Date

12/20/1948

Effective Date

12/20/1948

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006