MARY GYNELLE BACCUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134724

License Status

NOT RENEWED

Business

First Name

MARY GYNELLE

Last Name

BACCUS

Business Name

MARY GYNELLE BACCUS

Original Issue Date

01/01/1997

Effective Date

08/31/2022

Expiration Date

06/30/2024

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/05/2025