MARY JEAN FOWLKES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029721

License Status

NOT RENEWED

Business

First Name

MARY JEAN

Last Name

FOWLKES

Business Name

MARY JEAN FOWLKES

Original Issue Date

12/15/1971

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009