MARY KAY WISEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305982

License Status

INACTIVE

Business

First Name

MARY

Middle

KAY

Last Name

WISEMAN

Business Name

MARY KAY WISEMAN

Original Issue Date

09/16/1997

Effective Date

09/16/1997

Expiration Date

05/31/2000

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006