ETSUKO MAYVILLE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018921

License Status

INACTIVE

Business

First Name

ETSUKO

Last Name

MAYVILLE

Business Name

ETSUKO MAYVILLE

Original Issue Date

03/23/1967

Expiration Date

01/31/1985

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005