MARY J DEHAVEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041079411

License Status

INACTIVE

Business

First Name

MARY J

Last Name

DEHAVEN

Business Name

MARY J DEHAVEN

Original Issue Date

12/06/1954

Effective Date

12/06/1954

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006