MATTIE M DORTCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046094

License Status

NOT RENEWED

Business

First Name

MATTIE M

Last Name

DORTCH

Business Name

MATTIE M DORTCH

Original Issue Date

01/26/1979

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/17/2009