MARY ANN MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157469

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

MONTGOMERY

Business Name

MARY ANN MONTGOMERY

Original Issue Date

09/11/1974

Effective Date

05/27/2014

Expiration Date

05/31/2016

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016