MARY B HETZMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036014

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

HETZMAN

Business Name

MARY B HETZMAN

Original Issue Date

01/30/1975

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005