MAMIE DATES - Registered Nurse License in Illinois | # 043028352

MAMIE DATES

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028352

License Status

NOT RENEWED

Business

N

First Name

MAMIE

Last Name

DATES

Business Name

MAMIE DATES

Original Issue Date

04/28/1971

Effective Date

01/26/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011