MARY OLIVIA COUSIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041225660

License Status

INACTIVE

Business

First Name

MARY OLIVIA

Last Name

COUSIN

Business Name

MARY OLIVIA COUSIN

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

05/31/2004

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006