MARIE A SURFACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076444

License Status

INACTIVE

Business

First Name

MARIE A

Last Name

SURFACE

Business Name

MARIE A SURFACE

Original Issue Date

12/15/1953

Effective Date

12/15/1953

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2006