CLEMEMTINE MATTOX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006993

License Status

NOT RENEWED

Business

First Name

CLEMEMTINE

Last Name

MATTOX

Business Name

CLEMEMTINE MATTOX

Original Issue Date

01/17/1956

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005