MARY JO FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189808

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

FOWLER

Business Name

MARY JO FOWLER

Original Issue Date

10/17/1979

Effective Date

04/13/2012

Expiration Date

05/31/2014

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/03/2014