MARY E DVORAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095264

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

DVORAK

Business Name

MARY E DVORAK

Original Issue Date

06/12/1960

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012