MARILYN G MATHIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104233

License Status

INACTIVE

Business

First Name

MARILYN G

Last Name

MATHIS

Business Name

MARILYN G MATHIS

Original Issue Date

11/09/1962

Effective Date

11/09/1962

Expiration Date

05/31/2006

City

NORRIS

State

Zip

61553

County

FULTON

Ever Disciplined

LastModifiedDate

10/09/2006