MARK J EAVENSON DC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041229883

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

EAVENSON

Suffix

Business Name

MARK J EAVENSON DC

Original Issue Date

07/03/1985

Effective Date

07/03/1985

Expiration Date

05/31/2000

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006