MARY TUCKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162597

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

TUCKER

Business Name

MARY TUCKER

Original Issue Date

10/24/1975

Effective Date

05/18/2010

Expiration Date

05/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012