CONNIE L VAN MATRE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087750

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

VAN MATRE

Business Name

CONNIE L VAN MATRE

Original Issue Date

09/23/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

PARKERSBURG

State

Zip

62452

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/15/2005