MARY M ERICKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139373

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

ERICKSON

Business Name

MARY M ERICKSON

Original Issue Date

06/17/1971

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

07/10/2012