MARY MARGARET SPICA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161083

License Status

NOT RENEWED

Business

First Name

MARY MARGARET

Last Name

SPICA

Business Name

MARY MARGARET SPICA

Original Issue Date

06/10/1975

Effective Date

06/10/1975

Expiration Date

05/31/1988

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006