MARY M HENDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169861

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

HENDERSON

Business Name

MARY M HENDERSON

Original Issue Date

11/01/1976

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012