JULIE A MANCO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

NOT RENEWED

Business

First Name

JULIE A

Last Name

MANCO

Business Name

JULIE A MANCO

Original Issue Date

04/29/2014

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

WAUCONDA

State

Zip

60084

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021