MARY L WATERS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009703

License Status

INACTIVE

Business

First Name

MARY L

Last Name

WATERS

Business Name

MARY L WATERS

Original Issue Date

01/26/1961

Expiration Date

01/31/1989

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005