MARY A MANZULLO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123096

License Status

INACTIVE

Business

First Name

MARY A

Last Name

MANZULLO

Business Name

MARY A MANZULLO

Original Issue Date

10/02/1967

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012