CLIFFORD E MANGRUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187857

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006