LARIE A MAUBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341748

License Status

NOT RENEWED

Business

First Name

LARIE

Middle

Last Name

MAUBACH

Business Name

LARIE A MAUBACH

Original Issue Date

08/11/2004

Effective Date

04/01/2016

Expiration Date

05/31/2018

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/19/2018