MAE DELLA MICKENS - Registered Nurse License in Illinois | # 043047493

MAE DELLA MICKENS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047493

License Status

NOT RENEWED

Business

N

First Name

MAE DELLA

Last Name

MICKENS

Business Name

MAE DELLA MICKENS

Original Issue Date

08/07/1979

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005