MARY MACON - Registered Nurse License in Illinois | # 043013399

MARY MACON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013399

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

MACON

Business Name

MARY MACON

Original Issue Date

04/14/1965

Effective Date

01/25/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007