MARY ELLEN SANDRIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079035

License Status

INACTIVE

Business

First Name

MARY ELLEN

Last Name

SANDRIN

Business Name

MARY ELLEN SANDRIN

Original Issue Date

03/16/1996

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005