SALLY MERGENTHALER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207200

License Status

NOT RENEWED

Business

First Name

SALLY

Last Name

MERGENTHALER

Business Name

SALLY MERGENTHALER

Original Issue Date

10/07/1981

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012