MARY IRENE RUDDOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028155

License Status

NOT RENEWED

Business

First Name

MARY IRENE

Last Name

RUDDOCK

Business Name

MARY IRENE RUDDOCK

Original Issue Date

02/24/1971

Expiration Date

01/31/1991

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005