CLIFFORD E MANGRUM - Registered Nurse License in Illinois | # 041187857

CLIFFORD E MANGRUM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187857

License Status

NOT RENEWED

Business

N

First Name

CLIFFORD E

Last Name

MANGRUM

Business Name

CLIFFORD E MANGRUM

Original Issue Date

05/07/1979

Effective Date

05/07/1979

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006