JULIETA L MAMPANG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204827

License Status

INACTIVE

Business

First Name

JULIETA L

Last Name

MAMPANG

Business Name

JULIETA L MAMPANG

Original Issue Date

10/08/1981

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012