MARY JANE S WALTEMATE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041144826

License Status

NOT RENEWED

Business

First Name

MARY JANE S

Last Name

WALTEMATE

Business Name

MARY JANE S WALTEMATE

Original Issue Date

09/28/1972

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/14/2021