SALLY BARSTOW MACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195682

License Status

INACTIVE

Business

First Name

SALLY BARSTOW

Last Name

MACE

Business Name

SALLY BARSTOW MACE

Original Issue Date

05/06/1980

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/05/2010