MONIQUE L MANDERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012605

License Status

INACTIVE

Business

First Name

MONIQUE

Middle

Last Name

MANDERSON

Business Name

MONIQUE L MANDERSON

Original Issue Date

02/20/2015

Effective Date

08/25/2020

Expiration Date

05/31/2022

City

OAK PARK

State

Zip

60302

County

MADISON

Ever Disciplined

LastModifiedDate

09/04/2020