MARY A GALLIVAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072985

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

GALLIVAN

Business Name

MARY A GALLIVAN

Original Issue Date

12/30/1992

Expiration Date

01/31/1995

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005