MAUDSTIN MACON - Registered Nurse License in Illinois | # 043012614

MAUDSTIN MACON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012614

License Status

NOT RENEWED

Business

N

First Name

MAUDSTIN

Last Name

MACON

Business Name

MAUDSTIN MACON

Original Issue Date

09/04/1964

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005