Mary I Kivisto
ExpiredIllinois license 041053219
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041053219
- Status
- Expired
- First issued
- January 30, 1946
- Expired
- May 1, 1982
- License holder
- Mary I Kivisto
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 01/30/1946
- Ever disciplined
- Yes
Contact
Dekalb, IL 60115
Dekalb County