MARY E FUQUA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190765

License Status

INACTIVE

Business

First Name

MARY E

Last Name

FUQUA

Business Name

MARY E FUQUA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006