MAXINE MANNELLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042743

License Status

NOT RENEWED

Business

First Name

MAXINE

Last Name

MANNELLA

Business Name

MAXINE MANNELLA

Original Issue Date

02/14/1978

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005