JUDITH ANN MATTOX Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

JUDITH

Middle

ANN

Last Name

MATTOX

Business Name

JUDITH ANN MATTOX

Original Issue Date

01/27/2014

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026