MARY KLEIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019434

License Status

INACTIVE

Business

First Name

MARY

Last Name

KLEIN

Business Name

MARY KLEIN

Original Issue Date

06/06/1967

Effective Date

01/20/2005

Expiration Date

01/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/15/2005