MARY J SPAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076496

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

SPAIN

Business Name

MARY J SPAIN

Original Issue Date

12/17/1953

Effective Date

12/17/1953

Expiration Date

05/31/2004

City

IMPERIAL

State

Zip

63052

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006