MATHEW J MAUPIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

Last Name

MAUPIN

Business Name

MATHEW J MAUPIN

Original Issue Date

05/30/2014

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2016