MARY SUSAN PUTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196083

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

PUTMAN

Business Name

MARY SUSAN PUTMAN

Original Issue Date

06/26/1980

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012