CHARLENE M MANTOCK - Registered Nurse License in Indiana | # 041175939

CHARLENE M MANTOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175939

License Status

NOT RENEWED

Business

N

First Name

CHARLENE M

Last Name

MANTOCK

Business Name

CHARLENE M MANTOCK

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006