MARY H NOVAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101179

License Status

INACTIVE

Business

First Name

MARY H

Last Name

NOVAK

Business Name

MARY H NOVAK

Original Issue Date

11/10/1961

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012