MARY KAY LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045749

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

LARSON

Business Name

MARY KAY LARSON

Original Issue Date

01/26/1979

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

LAKE VILLAGE

State

Zip

46349

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021