JUANITA NOELIA MATA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086369

License Status

NOT RENEWED

Business

First Name

JUANITA

Middle

NOELIA

Last Name

MATA

Business Name

JUANITA NOELIA MATA

Original Issue Date

08/10/2001

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007