MATTIE GRAHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024534

License Status

INACTIVE

Business

First Name

MATTIE

Last Name

GRAHAM

Business Name

MATTIE GRAHAM

Original Issue Date

01/30/1969

Expiration Date

01/31/1991

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005