MATTIE FISHMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021669

License Status

NOT RENEWED

Business

First Name

MATTIE

Last Name

FISHMAN

Business Name

MATTIE FISHMAN

Original Issue Date

12/22/1967

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005