LARIE A MAUBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085771

License Status

NOT RENEWED

Business

First Name

LARIE

Middle

Last Name

MAUBACH

Business Name

LARIE A MAUBACH

Original Issue Date

12/26/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

SHELDON

State

Zip

60966

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/15/2005