BARBARA L MONGOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134119

License Status

INACTIVE

Business

First Name

BARBARA L

Last Name

MONGOLD

Business Name

BARBARA L MONGOLD

Original Issue Date

12/19/1969

Effective Date

12/19/1969

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006