MARY PAMELA LANGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240055

License Status

NOT RENEWED

Business

First Name

MARY PAMELA

Last Name

LANGE

Business Name

MARY PAMELA LANGE

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

05/31/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006