BENIGNO MATA JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077070

License Status

NOT RENEWED

Business

First Name

BENIGNO

Last Name

MATA JR

Business Name

BENIGNO MATA JR

Original Issue Date

01/31/1995

Expiration Date

01/31/1999

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/27/2005