MARY ELIZABETH EASTHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030856

License Status

INACTIVE

Business

First Name

MARY ELIZABETH

Last Name

EASTHAM

Business Name

MARY ELIZABETH EASTHAM

Original Issue Date

08/02/1972

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2018