ED FORTUNE A MANGIO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010910

License Status

NOT RENEWED

Business

First Name

ED FORTUNE

Middle

Last Name

MANGIO

Business Name

ED FORTUNE A MANGIO

Original Issue Date

11/01/2013

Effective Date

04/29/2016

Expiration Date

05/31/2018

City

ATTLEBORO

State

Zip

02703

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018