MARY CAROL INDRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029405

License Status

NOT RENEWED

Business

First Name

MARY CAROL

Last Name

INDRA

Business Name

MARY CAROL INDRA

Original Issue Date

11/03/1971

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005