MARY ANN DIVINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072662

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

DIVINE

Business Name

MARY ANN DIVINE

Original Issue Date

12/23/1992

Expiration Date

01/31/1999

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/27/2005