MARY E SELFRIDGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087818

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

SELFRIDGE

Business Name

MARY E SELFRIDGE

Original Issue Date

10/01/2002

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2005