MARY T ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176128

License Status

NOT RENEWED

Business

First Name

MARY T

Last Name

ANDERSON

Business Name

MARY T ANDERSON

Original Issue Date

10/12/1977

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

FONTANA

State

Zip

53125

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016