MARY A HENDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030428

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

HENDERSON

Business Name

MARY A HENDERSON

Original Issue Date

03/28/1972

Expiration Date

01/31/1995

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005