MARILYN A MIX Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076139

License Status

INACTIVE

Business

First Name

MARILYN A

Last Name

MIX

Business Name

MARILYN A MIX

Original Issue Date

11/12/1953

Effective Date

11/12/1953

Expiration Date

05/31/2006

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006