KATHY LYNN MIX Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163644

License Status

INACTIVE

Business

First Name

KATHY LYNN

Last Name

MIX

Business Name

KATHY LYNN MIX

Original Issue Date

10/24/1975

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

03/08/2020