MATTIE C HANSBERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131170

License Status

NOT RENEWED

Business

First Name

MATTIE C

Last Name

HANSBERRY

Business Name

MATTIE C HANSBERRY

Original Issue Date

06/25/1969

Effective Date

06/25/1969

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006