MARY A GALLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041282243

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

GALLIVAN

Business Name

MARY A GALLIVAN

Original Issue Date

07/27/1994

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/14/2021