MARY ELLEN JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016422

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

JOHNSON

Business Name

MARY ELLEN JOHNSON

Original Issue Date

10/06/1966

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/21/2005