KATHLEEN R MANCA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188846

License Status

NOT RENEWED

Business

First Name

KATHLEEN R

Last Name

MANCA

Business Name

KATHLEEN R MANCA

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

05/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006