License holder summary

PENNY LOU MATA is a Nurse Registered & Licensed Practical - Lpn licensed to practice in Michigan. The address on file for PENNY LOU MATA is Paw Paw, MI 49079. This licensed professional license is not current. The license was granted 12/12/1984 and expired on 03/31/1988.

Michigan

Department of Licensing and Regulation

PENNY LOU MATA
Nurse Registered & Licensed Practical - Lpn
License number
4703057456
Date granted
12/12/1984
Date expires
03/31/1988
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Paw Paw, MI 49079
michiganlicensing.org
ID 25815794
LAST UPDATED 2026-04-10 15:40:42 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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