ANGELA DENISE MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050380

License Status

NOT RENEWED

Business

First Name

ANGELA DENISE

Last Name

MATHIS

Business Name

ANGELA DENISE MATHIS

Original Issue Date

01/08/1981

Effective Date

01/28/2005

Expiration Date

01/31/2007

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/16/2007