MARY K STAFFORD TITA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164134

License Status

NOT RENEWED

Business

First Name

MARY K STAFFORD

Last Name

TITA

Business Name

MARY K STAFFORD TITA

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1984

City

CLEVELAND HEIGHTS

State

Zip

44106

County

OHIO

Ever Disciplined

LastModifiedDate

09/27/2006