LA TANYA M MATHIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300854

License Status

INACTIVE

Business

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

City

PHOENIX

State

Zip

85037

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006