MAE DELLA MICKENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047493

License Status

NOT RENEWED

Business

First Name

MAE DELLA

Last Name

MICKENS

Business Name

MAE DELLA MICKENS

Original Issue Date

08/07/1979

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005