MARY J FARDOUX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109201

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

FARDOUX

Business Name

MARY J FARDOUX

Original Issue Date

01/22/1964

Effective Date

01/22/1964

Expiration Date

05/31/2004

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006