AGNUS S MANDRGOC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224150

License Status

NOT RENEWED

Business

First Name

AGNUS S

Last Name

MANDRGOC

Business Name

AGNUS S MANDRGOC

Original Issue Date

09/28/1984

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/03/2014