MARY MICHELLE VAN DOLAH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045585

License Status

NOT RENEWED

Business

First Name

MARY MICHELLE

Last Name

VAN DOLAH

Business Name

MARY MICHELLE VAN DOLAH

Original Issue Date

01/26/1979

Effective Date

02/27/2007

Expiration Date

01/31/2009

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Ever Disciplined

LastModifiedDate

03/17/2009