MATTIE L NEWSOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047815

License Status

INACTIVE

Business

First Name

MATTIE L

Last Name

NEWSOM

Business Name

MATTIE L NEWSOM

Original Issue Date

01/07/1980

Expiration Date

01/31/1997

City

COUNTRY CLUB HILLS

State

Zip

60478

Ever Disciplined

LastModifiedDate

10/21/2005