MARY A POLK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240080

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

POLK

Business Name

MARY A POLK

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

05/31/2004

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006