MARY A KLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086457

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

KLIS

Business Name

MARY A KLIS

Original Issue Date

12/26/1956

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

07/10/2012