DALE A MANZOEILLO - Advanced Practice Nurse License in Illinois | # 209003423

DALE A MANZOEILLO

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003423

License Status

NOT RENEWED

Business

N

First Name

DALE A

Last Name

MANZOEILLO

Business Name

DALE A MANZOEILLO

Original Issue Date

08/01/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008