MARY L SPATH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041284304

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SPATH

Business Name

MARY L SPATH

Original Issue Date

09/01/1994

Effective Date

08/17/2022

Expiration Date

06/30/2024

City

FORT WAYNE

State

Zip

46807

Ever Disciplined

LastModifiedDate

02/05/2025