MARY SUZANNE MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037228

License Status

NOT RENEWED

Business

First Name

MARY SUZANNE

Last Name

MATHIS

Business Name

MARY SUZANNE MATHIS

Original Issue Date

06/10/1975

Effective Date

01/22/2019

Expiration Date

01/31/2021

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

03/11/2021