BRENDA K MATHIESEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013641

License Status

INACTIVE

Business

First Name

BRENDA K

Last Name

MATHIESEN

Business Name

BRENDA K MATHIESEN

Original Issue Date

06/25/1965

Effective Date

12/03/2004

Expiration Date

01/31/2005

City

ROYSE CITY

State

Zip

75189

County

TEXAS

Ever Disciplined

LastModifiedDate

10/15/2005