KENNETH J MATTINGLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165258

License Status

INACTIVE

Business

First Name

KENNETH J

Last Name

MATTINGLY

Business Name

KENNETH J MATTINGLY

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

05/31/1984

City

ST MARYS

State

Zip

63673

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006