BERNADETTE LORRAINE MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083774

License Status

NOT RENEWED

Business

First Name

BERNADETTE

Middle

LORRAINE

Last Name

MATHIS

Business Name

BERNADETTE LORRAINE MATHIS

Original Issue Date

06/17/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005