DANA M MATA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396938

License Status

INACTIVE

Business

First Name

DANA

Middle

Last Name

MATA

Business Name

DANA M MATA

Original Issue Date

09/21/2011

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

DERBY

State

Zip

14047

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/08/2020