MARY JO BAIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122504

License Status

INACTIVE

Business

First Name

MARY JO

Last Name

BAIN

Business Name

MARY JO BAIN

Original Issue Date

09/07/1967

Effective Date

09/07/1967

Expiration Date

05/31/2008

City

SILVIS

State

Zip

61282

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2008