MARY LOU ISH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013238

License Status

INACTIVE

Business

First Name

MARY LOU

Last Name

ISH

Business Name

MARY LOU ISH

Original Issue Date

01/29/1965

Effective Date

12/22/2004

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005