MARY K BLUME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190829

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BLUME

Business Name

MARY K BLUME

Original Issue Date

10/17/1979

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018