MATTIE B WHITTIE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042590

License Status

NOT RENEWED

Business

First Name

MATTIE B

Last Name

WHITTIE

Business Name

MATTIE B WHITTIE

Original Issue Date

01/10/1978

Effective Date

11/10/2008

Expiration Date

01/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/10/2011