MAHALA S MATHIAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041212755

License Status

NOT RENEWED

Business

First Name

MAHALA S

Last Name

MATHIAS

Business Name

MAHALA S MATHIAS

Original Issue Date

11/04/1982

Effective Date

04/19/2010

Expiration Date

05/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012