MARY MAX MICKELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160342

License Status

NOT RENEWED

Business

First Name

MARY MAX

Last Name

MICKELSON

Business Name

MARY MAX MICKELSON

Original Issue Date

05/05/1975

Effective Date

05/05/1975

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

09/27/2006