MARY ANN DIVINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309540

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

DIVINE

Business Name

MARY ANN DIVINE

Original Issue Date

07/21/1998

Effective Date

03/23/2010

Expiration Date

05/31/2012

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/10/2012