MARDELL KLASEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207792

License Status

NOT RENEWED

Business

First Name

MARDELL

Last Name

KLASEN

Business Name

MARDELL KLASEN

Original Issue Date

11/10/1981

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014