MARY J STARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102933

License Status

INACTIVE

Business

First Name

MARY J

Last Name

STARK

Business Name

MARY J STARK

Original Issue Date

04/10/1962

Effective Date

04/10/1962

City

ST. JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006