MARY KAY WALLBLOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285977

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

WALLBLOM

Business Name

MARY KAY WALLBLOM

Original Issue Date

11/29/1994

Effective Date

11/29/1994

Expiration Date

05/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006