MARY JO HAVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064726

License Status

NOT RENEWED

Business

First Name

MARY JO

Last Name

HAVENS

Business Name

MARY JO HAVENS

Original Issue Date

06/16/1987

Effective Date

01/03/2017

Expiration Date

01/31/2019

City

IPAVA

State

Zip

61441

County

FULTON

Ever Disciplined

LastModifiedDate

03/28/2019