CHANNON DODGE MENNENGA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041462481

License Status

ACTIVE

Business

First Name

CHANNON

Last Name

DODGE MENNENGA

Business Name

CHANNON DODGE MENNENGA

Original Issue Date

03/05/2018

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/01/2026