HAZEL C MANANSALA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041373904

License Status

ACTIVE

Business

First Name

HAZEL

Middle

Last Name

MANANSALA

Business Name

HAZEL C MANANSALA

Original Issue Date

02/11/2009

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026