MICHAEL P MADDOX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083314

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MADDOX

Business Name

MICHAEL P MADDOX

Original Issue Date

01/12/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005