KRISTI T MAMMEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339721

License Status

ACTIVE

Business

First Name

KRISTI

Middle

Last Name

MAMMEN

Business Name

KRISTI T MAMMEN

Original Issue Date

04/14/2004

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/16/2026