MARY KAY BREITMEYER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031307

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

BREITMEYER

Business Name

MARY KAY BREITMEYER

Original Issue Date

11/15/1972

Expiration Date

01/31/1995

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

1990003506

Action

Suspension

Discipline Start Date

04/20/1992

Discipline Reason

Changed the expiration date on her license to deceive and gain employment at Laurelwood Healthcare in Rock Island.