MATTHEW L BACON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372126

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

BACON

Business Name

MATTHEW L BACON

Original Issue Date

09/26/2008

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/06/2014