MATTHEW S LARSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041434195

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

LARSEN

Business Name

MATTHEW S LARSEN

Original Issue Date

08/19/2015

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021