TAMMIE D MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058545

License Status

NOT RENEWED

Business

First Name

TAMMIE D

Last Name

MATHIS

Business Name

TAMMIE D MATHIS

Original Issue Date

12/27/1983

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

BEACH PARK

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

01/06/2022