DORA M MATTOX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012615

License Status

NOT RENEWED

Business

First Name

DORA M

Last Name

MATTOX

Business Name

DORA M MATTOX

Original Issue Date

09/04/1964

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005