MARY E LIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112338

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LIST

Business Name

MARY E LIST

Original Issue Date

03/10/2011

Effective Date

01/14/2015

Expiration Date

01/31/2017

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

03/27/2017