WANDA JEANETTE MITAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017094

License Status

NOT RENEWED

Business

First Name

WANDA JEANETTE

Last Name

MITAN

Business Name

WANDA JEANETTE MITAN

Original Issue Date

12/07/1966

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/21/2005