MATTIE P TELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072676

License Status

NOT RENEWED

Business

First Name

MATTIE P

Last Name

TELL

Business Name

MATTIE P TELL

Original Issue Date

12/23/1992

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013