DONALD EVERETT MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115507

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

EVERETT

Last Name

MATHIS

Business Name

DONALD EVERETT MATHIS

Original Issue Date

09/05/2012

Effective Date

11/29/2012

Expiration Date

01/31/2015

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/09/2015