MARYELLA E WALLGREN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041079760

License Status

INACTIVE

Business

First Name

MARYELLA E

Last Name

WALLGREN

Business Name

MARYELLA E WALLGREN

Original Issue Date

01/04/1955

Effective Date

01/04/1955

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006