Mary Anne Douglas
InactiveIllinois license 041193663
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041193663
- Status
- Inactive
- First issued
- November 8, 1979
- Expired
- May 31, 2010
- License holder
- Mary Anne Douglas
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/11/2008
Contact
Edwardsville, IL 62025
Madison County