MARY JANE BLOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034595

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

BLOCH

Business Name

MARY JANE BLOCH

Original Issue Date

02/22/1974

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005