SUZANNE MARY MANTIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041173568

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARY

Last Name

MANTIA

Business Name

SUZANNE MARY MANTIA

Original Issue Date

05/12/1977

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/14/2021