MARY C FAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077386

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

FAGAN

Business Name

MARY C FAGAN

Original Issue Date

04/01/1954

Effective Date

04/01/1954

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006