MARY F MATA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135254

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

MATA

Business Name

MARY F MATA

Original Issue Date

05/25/1970

Effective Date

05/25/1970

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/27/2006