LA TANYA M MATHIS - Registered Nurse License in Arizona | # 041300854

LA TANYA M MATHIS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300854

License Status

INACTIVE

Business

N

First Name

LA TANYA M

Last Name

MATHIS

Business Name

LA TANYA M MATHIS

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

05/31/2004

State

AZ

Ever Disciplined

N

LastModifiedDate

10/09/2006