MARILYN G KLOTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163023

License Status

INACTIVE

Business

First Name

MARILYN G

Last Name

KLOTZ

Business Name

MARILYN G KLOTZ

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/2002

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006