MARILYN S HACKETHAL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085910

License Status

INACTIVE

Business

First Name

MARILYN S

Last Name

HACKETHAL

Business Name

MARILYN S HACKETHAL

Original Issue Date

11/21/1956

Effective Date

11/21/1956

Expiration Date

05/31/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006