MATTIE L SIMON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010476

License Status

NOT RENEWED

Business

First Name

MATTIE L

Last Name

SIMON

Business Name

MATTIE L SIMON

Original Issue Date

04/02/1962

Expiration Date

01/31/1993

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005