REISSEL RAE R MAMBA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041472450

License Status

NOT RENEWED

Business

First Name

REISSEL RAE

Middle

Last Name

MAMBA

Business Name

REISSEL RAE R MAMBA

Original Issue Date

11/14/2018

Effective Date

03/16/2020

Expiration Date

08/31/2022

City

PHILIPPINES 1008

State

Zip

01781

Ever Disciplined

LastModifiedDate

10/14/2022