MARY R ERVIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020114

License Status

INACTIVE

Business

First Name

MARY R

Last Name

ERVIN

Business Name

MARY R ERVIN

Original Issue Date

06/28/1967

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/10/2008