MATILYN KISSACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041518013

License Status

NOT RENEWED

Business

First Name

MATILYN

Last Name

KISSACK

Business Name

MATILYN KISSACK

Original Issue Date

11/08/2021

Effective Date

07/26/2022

Expiration Date

06/30/2024

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/05/2025