MARY M DURGOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121490

License Status

INACTIVE

Business

First Name

MARY M

Last Name

DURGOM

Business Name

MARY M DURGOM

Original Issue Date

06/20/1967

Effective Date

06/20/1967

Expiration Date

05/31/1986

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006