DONNA A MONFORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167215

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

MONFORT

Business Name

DONNA A MONFORT

Original Issue Date

05/11/1976

Effective Date

04/12/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014