MAIRA MATA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125468

License Status

NOT RENEWED

Business

First Name

MAIRA

Last Name

MATA

Business Name

MAIRA MATA

Original Issue Date

04/26/2018

Effective Date

11/14/2018

Expiration Date

01/31/2021

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2021