MARY M CARMACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339332

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

CARMACK

Business Name

MARY M CARMACK

Original Issue Date

03/03/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2010