MARY L INGRAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020201

License Status

INACTIVE

Business

First Name

MARY L

Last Name

INGRAM

Business Name

MARY L INGRAM

Original Issue Date

06/28/1967

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/15/2005