PATTY-JO KATHERINE MANTEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027676

License Status

NOT RENEWED

Business

First Name

PATTY-JO

Middle

KATHERINE

Last Name

MANTEL

Business Name

PATTY-JO KATHERINE MANTEL

Original Issue Date

06/12/2023

Effective Date

06/12/2023

Expiration Date

06/30/2024

City

BLOOMINGTON

State

Zip

55437

Ever Disciplined

LastModifiedDate

02/05/2025