DANA M MATA - Registered Nurse License in New York | # 041396938

DANA M MATA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396938

License Status

INACTIVE

Business

N

First Name

DANA

Middle

M

Last Name

MATA

Business Name

DANA M MATA

Original Issue Date

09/21/2011

Effective Date

05/29/2018

Expiration Date

09/30/2020

State

NY

Ever Disciplined

N

LastModifiedDate

03/08/2020