MARY K POTTHOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183769

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

POTTHOFF

Business Name

MARY K POTTHOFF

Original Issue Date

10/16/1978

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/10/2012