DALE A MANZOEILLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003423

License Status

NOT RENEWED

Business

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

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008