TAKARA J MAULDIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108748

License Status

NOT RENEWED

Business

First Name

TAKARA

Middle

Last Name

MAULDIN

Business Name

TAKARA J MAULDIN

Original Issue Date

09/09/2009

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013