MONIQUE L MANDERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

MONIQUE

Middle

Last Name

MANDERSON

Business Name

MONIQUE L MANDERSON

Original Issue Date

03/11/2015

Effective Date

08/25/2020

Expiration Date

05/31/2022

City

OAK PARK

State

Zip

60302

County

MADISON

Ever Disciplined

LastModifiedDate

08/25/2020