SUSAN RENN MONGIAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189418

License Status

INACTIVE

Business

First Name

SUSAN RENN

Last Name

MONGIAT

Business Name

SUSAN RENN MONGIAT

Original Issue Date

10/17/1979

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2014