MATHEW D VALLERA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091091

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

Last Name

VALLERA

Business Name

MATHEW D VALLERA

Original Issue Date

02/23/2005

Effective Date

02/23/2005

Expiration Date

01/31/2007

City

CREST HILL

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

03/16/2007