MARY NEDIYAVILA THOMAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041198628

License Status

INACTIVE

Business

First Name

MARY NEDIYAVILA

Last Name

THOMAS

Business Name

MARY NEDIYAVILA THOMAS

Original Issue Date

11/17/1980

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012

Case Number

1993002788

Action

Suspension

Discipline Start Date

09/30/1996

Discipline End Date

01/13/1998

Discipline Reason

Incompetency to practice due to mental illness.