MARY M SPROUT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099546

License Status

INACTIVE

Business

First Name

MARY M

Last Name

SPROUT

Business Name

MARY M SPROUT

Original Issue Date

04/03/1961

Effective Date

04/03/1961

Expiration Date

05/31/1998

City

WAUNAKEE

State

Zip

53597

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006