MARY ANNTIONETTE CONRAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193195

License Status

NOT RENEWED

Business

First Name

MARY ANNTIONETTE

Last Name

CONRAD

Business Name

MARY ANNTIONETTE CONRAD

Original Issue Date

10/17/1979

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012