MARY SUSAN WYNN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112950

License Status

INACTIVE

Business

First Name

MARY

Middle

SUSAN

Last Name

WYNN

Business Name

MARY SUSAN WYNN

Original Issue Date

01/25/1965

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012