MISTIE G MANSFIELD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265763

License Status

NOT RENEWED

Business

First Name

MISTIE G

Last Name

MANSFIELD

Business Name

MISTIE G MANSFIELD

Original Issue Date

10/07/1991

Effective Date

10/07/1991

Expiration Date

05/31/1998

City

MODESTO

State

Zip

62667

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/27/2006