MARY ANN SUPANCIC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105235

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

SUPANCIC

Business Name

MARY ANN SUPANCIC

Original Issue Date

02/04/2008

Effective Date

02/04/2008

Expiration Date

01/31/2009

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/17/2009