MARY LOUISE MICKLUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134097

License Status

NOT RENEWED

Business

First Name

MARY LOUISE

Last Name

MICKLUS

Business Name

MARY LOUISE MICKLUS

Original Issue Date

12/17/1969

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021