MARY A OTTEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077633

License Status

INACTIVE

Business

First Name

MARY A

Last Name

OTTEN

Business Name

MARY A OTTEN

Original Issue Date

04/01/1954

Effective Date

04/01/1954

Expiration Date

05/31/1996

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006