MARY L WATERS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175015

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

WATERS

Business Name

MARY L WATERS

Original Issue Date

10/12/1977

Effective Date

04/24/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2016