MATTIE M MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068715

License Status

NOT RENEWED

Business

First Name

MATTIE M

Last Name

MOSS

Business Name

MATTIE M MOSS

Original Issue Date

07/14/1990

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

03/11/2021