TANIS MELITA MITTELMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299477

License Status

NOT RENEWED

Business

First Name

TANIS MELITA

Last Name

MITTELMAN

Business Name

TANIS MELITA MITTELMAN

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

05/31/1998

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006