MARY MAX MICKELSON - Registered Nurse License in Illinois | # 041160342

MARY MAX MICKELSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160342

License Status

NOT RENEWED

Business

N

First Name

MARY MAX

Last Name

MICKELSON

Business Name

MARY MAX MICKELSON

Original Issue Date

05/05/1975

Effective Date

05/05/1975

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006