MARY ANNE DOUGLAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193663

License Status

INACTIVE

Business

First Name

MARY ANNE

Last Name

DOUGLAS

Business Name

MARY ANNE DOUGLAS

Original Issue Date

11/08/1979

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2010