MARY P DEA DO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238132

License Status

INACTIVE

Business

First Name

MARY P

Last Name

DEA

Suffix

Business Name

MARY P DEA DO

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

05/31/1994

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006