MARY KAY FIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139113

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

FIELDS

Business Name

MARY KAY FIELDS

Original Issue Date

01/01/1997

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018