MARY A LANTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219375

License Status

INACTIVE

Business

First Name

MARY A

Last Name

LANTZ

Business Name

MARY A LANTZ

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006