DALE A MANZOEILLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

DALE A

Last Name

MANZOEILLO

Business Name

DALE A MANZOEILLO

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008