OLIVE A MANTOOTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130388

License Status

NOT RENEWED

Business

First Name

OLIVE A

Last Name

MANTOOTH

Business Name

OLIVE A MANTOOTH

Original Issue Date

03/13/1969

Effective Date

03/13/1969

Expiration Date

05/01/1982

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006