JUDY MARILYN STORK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046793

License Status

INACTIVE

Business

First Name

JUDY MARILYN

Last Name

STORK

Business Name

JUDY MARILYN STORK

Original Issue Date

04/19/1979

Effective Date

11/22/2010

Expiration Date

01/31/2013

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/08/2012