MATTIE ELAINE RANDOL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041484405

License Status

NOT RENEWED

Business

First Name

MATTIE

Middle

ELAINE

Last Name

RANDOL

Business Name

MATTIE ELAINE RANDOL

Original Issue Date

08/15/2019

Effective Date

08/15/2019

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/14/2021