MARY J BACKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084165

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

BACKS

Business Name

MARY J BACKS

Original Issue Date

05/07/1956

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012