MARY JACQUELINE PEDDYCOART Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154092

License Status

NOT RENEWED

Business

First Name

MARY JACQUELINE

Last Name

PEDDYCOART

Business Name

MARY JACQUELINE PEDDYCOART

Original Issue Date

03/22/1974

Effective Date

03/22/1974

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006