ANNELISE MATLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041581897

License Status

ACTIVE

Business

First Name

ANNELISE

Last Name

MATLACK

Business Name

ANNELISE MATLACK

Original Issue Date

02/14/2025

Effective Date

02/14/2025

Expiration Date

05/31/2026

City

BALLWIN

State

Zip

63011

Ever Disciplined

LastModifiedDate

03/01/2026