MARY BETH A SELF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037354

License Status

INACTIVE

Business

First Name

MARY BETH A

Last Name

SELF

Business Name

MARY BETH A SELF

Original Issue Date

06/10/1975

Expiration Date

01/31/1991

City

ALOHA

State

Zip

97007

County

OREGON

Ever Disciplined

LastModifiedDate

10/21/2005