MARY AGNES DEASIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041442741

License Status

NOT RENEWED

Business

First Name

MARY

Middle

AGNES

Last Name

DEASIS

Business Name

MARY AGNES DEASIS

Original Issue Date

07/05/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

OSHKOSH

State

Zip

54902

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021