MARY A CROSSETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103868

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

CROSSETT

Business Name

MARY A CROSSETT

Original Issue Date

08/14/2007

Effective Date

12/10/2010

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013