MARY JANE FENWICK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017636

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

FENWICK

Business Name

MARY JANE FENWICK

Original Issue Date

01/18/1967

Expiration Date

01/31/1987

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005