JOSEPH MICHAEL MATTINGLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089407

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

MICHAEL

Last Name

MATTINGLY

Business Name

JOSEPH MICHAEL MATTINGLY

Original Issue Date

12/29/2003

Effective Date

01/25/2005

Expiration Date

01/31/2007

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/26/2022

Case Number

2021003734

Action

Suspension

Discipline Start Date

05/23/2022

Discipline Reason

licensed practical nurse license indefinitely suspended for a healthcare fraud conviction in violation of 20 ILCS 2105/2105/170.