MATTIE R SHOALS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022519

License Status

INACTIVE

Business

First Name

MATTIE R

Last Name

SHOALS

Business Name

MATTIE R SHOALS

Original Issue Date

01/31/1968

Effective Date

01/15/2003

Expiration Date

01/31/2003

City

TUSCON

State

Zip

85750

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/15/2005