ELIZABETH MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090852

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

MATHIS

Business Name

ELIZABETH MATHIS

Original Issue Date

12/17/2004

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

03/17/2009