MARY M FOWLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154013

License Status

INACTIVE

Business

First Name

MARY M

Last Name

FOWLER

Business Name

MARY M FOWLER

Original Issue Date

03/22/1974

Effective Date

03/22/1974

Expiration Date

05/01/1982

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006