MARY J OTIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020336

License Status

INACTIVE

Business

First Name

MARY J

Last Name

OTIS

Business Name

MARY J OTIS

Original Issue Date

06/28/1967

Expiration Date

01/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005