MATTIE L FLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041406

License Status

NOT RENEWED

Business

First Name

MATTIE L

Last Name

FLY

Business Name

MATTIE L FLY

Original Issue Date

02/02/1977

Expiration Date

01/31/1991

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005