MARY JANE LARSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054221

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

LARSEN

Business Name

MARY JANE LARSEN

Original Issue Date

07/27/1982

Effective Date

01/03/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/08/2012