MARY L BOUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030340

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

BOUGH

Business Name

MARY L BOUGH

Original Issue Date

03/02/1972

Expiration Date

01/31/1991

City

ASHMORE

State

Zip

61912

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005