MARY E STREET Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076159

License Status

INACTIVE

Business

First Name

MARY E

Last Name

STREET

Business Name

MARY E STREET

Original Issue Date

11/12/1953

Effective Date

11/12/1953

Expiration Date

05/31/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006