MARY A JAKICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246074

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

JAKICH

Business Name

MARY A JAKICH

Original Issue Date

11/04/1987

Effective Date

11/04/1987

Expiration Date

05/31/1990

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006