MARY JANE GROSS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014450

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

GROSS

Business Name

MARY JANE GROSS

Original Issue Date

02/02/1966

Effective Date

11/23/2004

Expiration Date

01/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005