MARY L HEUBAUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108359

License Status

INACTIVE

Business

First Name

MARY L

Last Name

HEUBAUM

Business Name

MARY L HEUBAUM

Original Issue Date

12/08/1963

Effective Date

12/08/1963

Expiration Date

05/31/2002

City

YANKTON

State

Zip

57078

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/09/2006