MACII MARIE PROST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079800

License Status

NOT RENEWED

Business

First Name

MACII

Middle

MARIE

Last Name

PROST

Business Name

MACII MARIE PROST

Original Issue Date

10/02/1996

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/20/2013