MARY B LATHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065701

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

LATHAM

Business Name

MARY B LATHAM

Original Issue Date

02/03/1988

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005