MARC R CONGRAVE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213282

License Status

INACTIVE

Business

First Name

MARC R

Last Name

CONGRAVE

Business Name

MARC R CONGRAVE

Original Issue Date

11/04/1982

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

NEW MILFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018