GLEN L MANZANO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041369717

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

MANZANO

Business Name

GLEN L MANZANO

Original Issue Date

07/23/2008

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

CHINLE

State

Zip

86503

Ever Disciplined

LastModifiedDate

10/14/2022