MARJORIE A HAVENAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053430

License Status

NOT RENEWED

Business

First Name

MARJORIE

Middle

Last Name

HAVENAR

Business Name

MARJORIE A HAVENAR

Original Issue Date

01/13/1982

Expiration Date

01/31/1991

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005