MARY KIM MOUSAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196622

License Status

NOT RENEWED

Business

First Name

MARY KIM

Last Name

MOUSAW

Business Name

MARY KIM MOUSAW

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1986

City

LOUDONVILLE

State

Zip

12211

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006