MAUDSTIN MACON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012614

License Status

NOT RENEWED

Business

First Name

MAUDSTIN

Last Name

MACON

Business Name

MAUDSTIN MACON

Original Issue Date

09/04/1964

Expiration Date

01/31/1989

City

DIXMOOR

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005