Mary Kim Mousaw
ExpiredIllinois license 041196622
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041196622
- Status
- Expired (Not Renewed)
- First issued
- November 17, 1980
- Expired
- May 31, 1986
- License holder
- Mary Kim Mousaw
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 11/17/1980
Contact
Loudonville, NY 12211
New York County